Active NPI
Julie K Coates, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1336247477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1390
- Practice address
- 9484 W Lake Mead Blvd
Suite 8 10
Las Vegas, NV 89134 - Phone
- (702) 243-7744
- Fax
- (702) 243-9688
- NPI assigned
- Sep 20, 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 | 1390 | NV | Primary |
Addresses
Primary practice location
9484 W Lake Mead Blvd
Suite 8 10
Las Vegas, NV 89134
Mailing address
PO Box 71425
Salt Lake City, UT 84171
Phone (801) 942-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060207000250 | NV | Practitioner - Physical Therapist in Private Practice | 4789699109 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1390 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Sports Physical Therapy | Current | Accepting new patients | |
| Nevada Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Affiliated Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Lakeview Neurology PC | Past | Accepting new patients |
Locations
5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964
Organizations & group practices 4
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
- Las Vegas, NV
- NPI 1457087009
NV, Physical Therapist
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- North Las Vegas, NV
- NPI 1669607156
-
- Neurological Surgery Physician
- Bountiful, UT
- NPI 1861676165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336247477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71425",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84171",
"telephone_number": "801-942-3311",
"fax_number": "801-942-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9484 W LAKE MEAD BLVD",
"address_2": "SUITE 8 10",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89134",
"telephone_number": "702-243-7744",
"fax_number": "702-243-9688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "JULIE",
"middle_name": "K",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.