Active NPI
Cori R Coan, P.T.A.
- Physical Therapy Assistant
- Monroe, NJ
National Provider Identifier
1194138073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00211500
- Practice address
- 294 Applegarth Rd
Suite C
Monroe, NJ 08831-3798 - Phone
- (609) 495-1888
- NPI assigned
- Jun 9, 2014
- 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 Therapy Assistant | 225200000X | 40QB00211500 | NJ | Primary |
Addresses
Primary practice location
294 Applegarth Rd
Suite C
Monroe, NJ 08831-3798
Mailing address
10 S Rochdale Ave
PO Box 434
Roosevelt, NJ 08555-7012
Phone (732) 330-8757
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 |
|---|---|---|---|
| 40QB00211500 | NJ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1194138073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 S ROCHDALE AVE",
"address_2": "PO BOX 434",
"city": "ROOSEVELT",
"state": "NJ",
"postal_code": "085557012",
"telephone_number": "732-330-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 APPLEGARTH RD",
"address_2": "SUITE C",
"city": "MONROE",
"state": "NJ",
"postal_code": "088313798",
"telephone_number": "609-495-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAN",
"first_name": "CORI",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00211500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.