Individual provider Active NPI

Stephen William Coleman, DPT

  • Physical Therapist
  • Honeoye Falls, NY
National Provider Identifier
1184054868
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037250 Issued in NY
Practice address
58 N Main St
Honeoye Falls, NY 14472-1076
Phone
(585) 582-0034
Fax
(585) 582-0026
NPI assigned
Nov 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037250 NY Primary

Addresses

Primary practice location

58 N Main St
Honeoye Falls, NY 14472-1076

Mailing address

58 N Main St
Honeoye Falls, NY 14472-1076
Phone (585) 582-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140328001746 NY Practitioner - Physical Therapist in Private Practice 9133350465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

1655 Elmwood Ave
Suite 130
Rochester, NY 14620-3428
Phone (585) 442-9110

229 Parrish St
Suite 220
Canandaigua, NY 14424-1791
Phone (585) 394-3920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037250NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Mendon Physical Therapy Management, PC Physical Therapist Past Accepting new patients
Fairport Physical Therapy, PC Physical Therapist Past Accepting new patients
Canandaigua Physical Therapy P.C. Physical Therapist Past Accepting new patients

Locations

229 Parrish St
Ste 220
Canandaigua, NY 14424
Phone (585) 394-3920

58 N Main St
Ste 200
Honeoye Falls, NY 14472
Phone (585) 582-0034

1655 Elmwood Ave
Ste 130
Rochester, NY 14620
Phone (585) 442-9110

Interoperability endpoints

  • Direct secure messaging: lattimoreofcanandaiguapt@lpt1.direct.rrhio.org
  • Direct secure messaging: scoleman@lpt1.direct.rrhio.org

Organizations & group practices 4

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": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1184054868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721076",
            "telephone_number": "585-582-0034",
            "fax_number": "585-582-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N MAIN ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721076",
            "telephone_number": "585-582-0034",
            "fax_number": "585-582-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honeoye Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.

Verify at the official NPI Registry.