Active NPI
Jeannie Arlene Coale, LMT, NCTMB
- Massage Therapist
- Summerville, SC
National Provider Identifier
1285880070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3737
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3737 | SC | MD | Mental 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
- Caleigh Clements
- Clemson Sports Medicine and Rehabilitation
- Clemson Sports Medicine and Rehabilitation, Inc
- Christine Denise Clyburn, DPT
- CMJ Concrete LLC
- Coastal Carolina Medical Services LLC
- Coastal Carolina Multispecialty Associates, LLC
- Coastal Carolina Podiatry Inc
- Coastal Communication
- Coastal Communicators, LLC
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.