Active NPI
Kacey Coffey
- Physical Therapy Assistant
- Andrews, NC
National Provider Identifier
1083135602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A5390
- Practice address
- 551 Kent St
Andrews, NC 28901-8088 - Phone
- (828) 321-3075
- Fax
- (828) 321-0809
- NPI assigned
- Jul 5, 2017
- Last updated
- Jul 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5390 | NC | Primary |
Addresses
Primary practice location
551 Kent St
Andrews, NC 28901-8088
Mailing address
551 Kent St
Andrews, NC 28901-8088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5390 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499212800000",
"number": "1083135602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 KENT ST",
"city": "ANDREWS",
"state": "NC",
"postal_code": "289018088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 KENT ST",
"city": "ANDREWS",
"state": "NC",
"postal_code": "289018088",
"telephone_number": "828-321-3075",
"fax_number": "828-321-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEY",
"first_name": "KACEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-05",
"last_updated": "2017-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A5390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andrews, NC
- Carolina Care Homes Inc (Carolina Care Homes)
- Carolina Care Homes Inc
- Carolina Care Homes, Inc
- Tori Paige Chastain, SLP
- Thomas Vann Clayton, MD
- Cutshaw Chiropractic Center, Inc
- Shane McNeil Cutshaw, D.C.
- Sierra Cutshaw, DC
- D. Duncan Sumpter, P.C. (Appalachian Community Services, Inc)
- D. Duncan Sumpter, P.C. (Appalachian Community Services, Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.