Active NPI
Althea Elizabeth Coffeen, PT
- Physical Therapist
- Ft Oglethorpe, GA
National Provider Identifier
1285643064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8820
- Practice address
- 1394 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4010 - Phone
- (706) 858-0252
- Fax
- (706) 858-0323
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8820 | GA | Primary |
Addresses
Primary practice location
1394 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4010
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
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 |
|---|---|---|---|
| PT8820 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1285643064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1394 BATTLEFIELD PKWY",
"city": "FT OGLETHORPE",
"state": "GA",
"postal_code": "307424010",
"telephone_number": "706-858-0252",
"fax_number": "706-858-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEEN",
"first_name": "ALTHEA",
"middle_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT8820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.