Michael Coldiron, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R5688

Practice address

401 Bogle St Ste 206
Somerset, KY 42503-2850

Phone

(859) 398-8234

Fax

(606) 398-8235

NPI assigned

Sep 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Total Rehab Center, PSC

  • Physical Therapist
  • Somerset, KY
  • NPI 1225061542

  Multi-Specialty

  Medicare reassignment NPD
• Bluegrass Developmental Group

  • Occupational Therapist
  • Somerset, KY
  • NPI 1376314468

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1275933806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 206",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032850",
            "telephone_number": "606-398-8234",
            "fax_number": "606-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 206",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032850",
            "telephone_number": "859-398-8234",
            "fax_number": "606-398-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDIRON",
        "first_name": "MICHAEL",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "R5688",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "R5688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Dale Coffey, DMD
• Joe Tyler Coffey, PHARMD
• Katelyn Coffey, MS, BCBA, LBA
• Lloyd Coffey, CADC
• Caroline Coldiron, CCC-SLP
• Stanton L Cole, M.D.
• College Drugstore
• Kasey Leanne Collette
• Columbia Medical Equipment, Inc.
• Cynthia Colyer, LCSW

• Occupational Therapist in Somerset, KY
• Providers in Somerset, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.