Individual provider Active NPI

Sherri L Coffman, PT

  • Physical Therapist
  • Osage City, KS
National Provider Identifier
1235444175
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-01655 Issued in KS
Practice address
104 W Market St
Suite B
Osage City, KS 66523-1277
Phone
(785) 528-1123
Fax
(785) 528-4123
NPI assigned
Aug 16, 2010
Last updated
Aug 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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 11-01655 KS Primary

Addresses

Primary practice location

104 W Market St
Suite B
Osage City, KS 66523-1277

Mailing address

22481 Lakeview PT
Vassar, KS 66543-9131
Phone (785) 828-4810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000248 KS Practitioner - Physical Therapist in Private Practice 5698891745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salt Creek Rehab LLCGroup PAC ID 0840290995, 3 clinicians

Practice addresses (Care Compare)

104 W Market St
Suite B
Osage City, KS 66523-1295
Phone (785) 528-1123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-01655KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Creek Rehab LLC Physical Therapist CurrentSince Aug 23, 2010 Accepting new patients

Locations

104 W Market St
Ste B
Osage City, KS 66523
Phone (785) 528-1123

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1235444175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22481 LAKEVIEW PT",
            "city": "VASSAR",
            "state": "KS",
            "postal_code": "665439131",
            "telephone_number": "785-828-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MARKET ST",
            "address_2": "SUITE B",
            "city": "OSAGE CITY",
            "state": "KS",
            "postal_code": "665231277",
            "telephone_number": "785-528-1123",
            "fax_number": "785-528-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "SHERRI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-01655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.