Tammy June Coats, PTA
Individual provider Active NPI Physical Therapy Assistant · Metamora, IL
NPI 1295581585 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1295581585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.002473 (IL)
- Practice address
- 1200 E Partridge St
Metamora, IL 61548-9619 - Phone
- (309) 367-4300
- NPI assigned
- Apr 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.002473 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.002473 | IL | Yes |
Addresses
Primary practice location
1200 E Partridge St
Metamora, IL 61548-9619
Mailing address
310 Woodland St
Pekin, IL 61554-5111
Other providers in Metamora, IL
- Kathryn Braun
- Heather Lynn Brown
- Shawn W Buhr
- Jill Calvin
- Christina Marie Clampitt
- Dot Drug Inc.
- Dot Drug, Inc.
- Emergency 116 Ambulance Service Inc
- Emily Furtek
- Germantown Hills Dist 69
All providers in Metamora, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.