Active NPI
Kimberly J Coleman, DPT
- Physical Therapist
- Bonney Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010458
- Practice address
- 19820 State Route 410 E
Suite 201
Bonney Lake, WA 98391-6377 - Phone
- (253) 863-7510
- Fax
- (253) 863-5970
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- 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 Therapist | 225100000X | PT00010458 | WA | Primary |
Addresses
Primary practice location
19820 State Route 410 E
Suite 201
Bonney Lake, WA 98391-6377
Mailing address
1202 N Pearl St
Apt K103
Tacoma, WA 98406-7900
Phone (425) 785-1367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1620 Lake Tapps Pkwy SE
Suite 110
Auburn, WA 98092-8376
Phone (253) 939-7181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010458 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1620 Lake Tapps Pkwy SE
Ste 115
Auburn, WA 98092
Phone (253) 246-2860
1620 Lake Tapps Pkwy SE
Ste 110
Auburn, WA 98092
Phone (253) 939-7181
814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900
15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855
19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991
709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191
Organizations & group practices 5
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.
-
- Physical Therapist
- Bellevue, WA
- NPI 1710330378
-
- Durable Medical Equipment & Medical Supplies
- Bellingham, WA
- NPI 1023691169
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Puyallup, WA
- NPI 1225255318
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
- Physical Therapist
- Burien, WA
- NPI 1780037689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164628459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 N PEARL ST",
"address_2": "APT K103",
"city": "TACOMA",
"state": "WA",
"postal_code": "984067900",
"telephone_number": "425-785-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19820 STATE ROUTE 410 E",
"address_2": "SUITE 201",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983916377",
"telephone_number": "253-863-7510",
"fax_number": "253-863-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "KIMBERLY",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.