Active NPI
Kwesi E Coleman, DPT, LMT
- Physical Therapist
- Austin, TX
National Provider Identifier
1326324674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1309995
- Practice address
- 4600 Monterey Oaks Blvd Apt 2228
Austin, TX 78749-4365 - Phone
- (425) 299-8640
- NPI assigned
- Nov 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 60123594 | WA | |
| Massage Therapist | 225700000X | 120231 | TX | |
| Physical Therapist | 225100000X | 1309995 | TX | Primary |
Addresses
Primary practice location
4600 Monterey Oaks Blvd Apt 2228
Austin, TX 78749-4365
Mailing address
4600 Monterey Oaks Blvd Apt 2228
Austin, TX 78749-4365
Phone (425) 299-8640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100
- Quality
- 89.74
- Improvement activities
- 40
- Cost
- 61.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60123594 | WA | MD | Specialist |
| 1309995 | TX | MD | Physical Therapist |
| 120231 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirkland Primary Care | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
-
- Primary Care Clinic/Center
- Kirkland, WA
- NPI 1245574789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1326324674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTEREY OAKS BLVD APT 2228",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787494365",
"telephone_number": "425-299-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MONTEREY OAKS BLVD APT 2228",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787494365",
"telephone_number": "425-299-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "KWESI",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPT, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-01",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 60123594",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "120231",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1309995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.