Derick Marcel Coe, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9397 Issued in NC

Practice address

63 Pridgen Rd
Lumberton, NC 28358-9726

Phone

(910) 608-0202

NPI assigned

Oct 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Direccare Behavioral Care Services, Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1518106426
  NPD (past)

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1174775969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PRIDGEN RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283589726",
            "telephone_number": "910-608-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PRIDGEN RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283589726",
            "telephone_number": "910-608-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COE",
        "first_name": "DERICK",
        "middle_name": "MARCEL",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Hearing Centers, Inc
• Coastal Speech and Reading Center
• Coastal Speech Center Inc
• Tori Jade Coble, DO
• Shelley Coe-Tomlinson
• Cole Coastal Therapy LLC
• Colin P Osborne III DDS PA
• Ansley Collins, PA-C
• Megan Laurel Collins, MA, LCMHC, NCC
• Paul Dwayne Collins, MD

• Physical Therapist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.