Individual provider Active NPI

Nathaniel David Coronado, D.P.T

  • Orthopedic Physical Therapist
  • Pelham, AL
National Provider Identifier
1245537109
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTH6064 Issued in AL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PTH6064ALMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Neurodiagnostic Lab LLC PastSince Mar 1, 2004 Accepting new patients
Alabama Bone & Joint Clinic,LLC PastSince Mar 14, 2011 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.

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.

Verify at the official NPI Registry.