Individual provider Active NPI

Colette M. Coiner, PT

  • Orthopedic Physical Therapist
  • San Diego, CA
National Provider Identifier
1265730188
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT17119 Issued in CA
Practice address
12526 High Bluff Dr Ste 300
San Diego, CA 92130-2067
Phone
(888) 713-2220
Fax
(858) 461-6060
NPI assigned
Mar 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17119 CA
Sports Physical Therapist 2251S0007X PT17119 CA
Orthopedic Physical Therapist 2251X0800X PT17119 CA Primary

Addresses

Primary practice location

12526 High Bluff Dr Ste 300
San Diego, CA 92130-2067

Mailing address

12526 High Bluff Dr Ste 300
San Diego, CA 92130-2067
Phone (888) 713-2220

Other names 1

  • Colette M. Seymann Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000562 CA Practitioner - Physical Therapist in Private Practice 4880854074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12707 High Bluff Dr
Suite 200
San Diego, CA 92130-2037
Phone (888) 713-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT17119CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
Back in Action Physical Therapy Inc. Physical Therapist CurrentSince Dec 20, 2010 Accepting new patients

Locations

125 S Chaparral Ct
Ste 205
Anaheim, CA 92808
Phone (657) 284-2115

3830 Valley Centre Dr
Ste 705545
San Diego, CA 92130

12526 High Bluff Dr
Ste 300
San Diego, CA 92130
Phone (512) 375-3210

12707 High Bluff Dr
Ste 200
San Diego, CA 92130
Phone (512) 375-3210

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1265730188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12526 HIGH BLUFF DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302067",
            "telephone_number": "888-713-2220",
            "fax_number": "858-461-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12526 HIGH BLUFF DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302067",
            "telephone_number": "888-713-2220",
            "fax_number": "858-461-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COINER",
        "first_name": "COLETTE",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17119",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT17119",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT17119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLETTE",
            "last_name": "SEYMANN",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.