Individual provider Active NPI

Jeannie Arlene Coale, LMT, NCTMB

  • Massage Therapist
  • Summerville, SC
National Provider Identifier
1285880070
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
3737 Issued in SC
Practice address
801 Travelers Blvd Ste 5
Summerville, SC 29485-8476
Phone
(843) 821-2157
Fax
(843) 821-2181
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 3737 SC Primary

Addresses

Primary practice location

801 Travelers Blvd Ste 5
Summerville, SC 29485-8476

Mailing address

801 Travelers Blvd Ste 5
Summerville, SC 29485-8476
Phone (843) 821-2157

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3737SCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1285880070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TRAVELERS BLVD STE 5",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858476",
            "telephone_number": "843-821-2157",
            "fax_number": "843-821-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TRAVELERS BLVD STE 5",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858476",
            "telephone_number": "843-821-2157",
            "fax_number": "843-821-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COALE",
        "first_name": "JEANNIE",
        "middle_name": "ARLENE",
        "name_prefix": "Mrs.",
        "credential": "LMT, NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.