Individual provider Active NPI

Sharyn Armstrong Coates, MSOTR/L, BCB-PMD

  • Occupational Therapist
  • Wyoming, MI
National Provider Identifier
1093116048
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007286 Issued in MI
Practice address
2093 Health Dr SW Ste 201
Wyoming, MI 49519-9691
Phone
(616) 452-7099
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5201007286 MI Primary

Addresses

Primary practice location

2093 Health Dr SW Ste 201
Wyoming, MI 49519-9691

Mailing address

2093 Health Dr SW Ste 201
Wyoming, MI 49519-9691
Phone (616) 328-5350

Other identifiers 3

IdentifierTypeStateIssuer
1134509532MedicaidMI
5201007286OtherMILARA MI
1588731087MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scoates@gastro-assoc-wm.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201007286MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Western Michigan PLC Multi-Specialty CurrentSince Mar 16, 2021 Accepting new patients

Locations

2093 Health Dr SW
Ste 201
Wyoming, MI 49519
Phone (616) 328-5350

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1093116048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 HEALTH DR SW STE 201",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199691",
            "telephone_number": "616-328-5350",
            "fax_number": "616-452-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HEALTH DR SW STE 201",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199691",
            "telephone_number": "616-452-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "SHARYN",
        "middle_name": "ARMSTRONG",
        "name_prefix": "Mrs.",
        "credential": "MSOTR/L, BCB-PMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134509532",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA MI",
            "identifier": "5201007286",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588731087",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scoates@gastro-assoc-wm.com",
            "affiliation": "N",
            "endpointDescription": "scoates@gastro-assoc-wm.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2093 Health Dr SW Ste 201",
            "city": "Wyoming",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495199691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.