Active NPI
Shauna Woodmansee-Coleman, P.T.
- Physical Therapist
- Quilcene, WA
National Provider Identifier
1225190648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00006861
- Practice address
- 295804 Hwy 101
Suite #5
Quilcene, WA 98376-8503 - Phone
- (360) 765-0888
- Fax
- (360) 765-0889
- NPI assigned
- Dec 14, 2006
- 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 | PT00006861 | WA | Primary |
Addresses
Primary practice location
295804 Hwy 101
Suite #5
Quilcene, WA 98376-8503
Mailing address
PO Box 726
Quilcene, WA 98376-0726
Phone (360) 765-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7123789 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT00006861 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1225190648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 726",
"city": "QUILCENE",
"state": "WA",
"postal_code": "983760726",
"telephone_number": "360-765-0888",
"fax_number": "360-765-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295804 HWY 101",
"address_2": "SUITE #5",
"city": "QUILCENE",
"state": "WA",
"postal_code": "983768503",
"telephone_number": "360-765-0888",
"fax_number": "360-765-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODMANSEE-COLEMAN",
"first_name": "SHAUNA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00006861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7123789",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quilcene, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.