Active NPI
Nathaniel David Coronado, D.P.T
- Orthopedic Physical Therapist
- Pelham, AL
National Provider Identifier
1245537109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PTH6064
- Practice address
- 120 Cahaba Valley Pkwy
Suite 100
Pelham, AL 35124-1185 - Phone
- (205) 909-2540
- Fax
- (205) 682-3612
- NPI assigned
- Feb 11, 2011
- Last updated
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PTH6064 | AL | Primary |
Addresses
Primary practice location
120 Cahaba Valley Pkwy
Suite 100
Pelham, AL 35124-1185
Mailing address
120 Cahaba Valley Pkwy
Suite 100
Pelham, AL 35124-1185
Phone (205) 909-2540
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 |
|---|---|---|---|
| PTH6064 | AL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Neurodiagnostic Lab LLC | Past | Accepting new patients | |
| Alabama Bone & Joint Clinic,LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Pelham, AL
- NPI 1780980540
-
- Neurology Physician
- Pelham, AL
- NPI 1417165127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1245537109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CAHABA VALLEY PKWY",
"address_2": "SUITE 100",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241185",
"telephone_number": "205-909-2540",
"fax_number": "205-682-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CAHABA VALLEY PKWY",
"address_2": "SUITE 100",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241185",
"telephone_number": "205-909-2540",
"fax_number": "205-682-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONADO",
"first_name": "NATHANIEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-11",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AL",
"license": "PTH6064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.