Maverick Coleman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305217474 Issued in VA

Practice address

44 Catawba Rd Ste 201
Daleville, VA 24083-2694

Phone

(540) 992-4801

NPI assigned

Nov 6, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Professional Therapies of Roanoke, Inc.

  • Rehabilitation Clinic/Center
  • Madison Heights, VA
  • NPI 1063282184
  NPD (past)
• Professional Therapies of Roanoke, Inc.

  • Rehabilitation Clinic/Center
  • Roanoke, VA
  • NPI 1982692323
  NPD (past)

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1346110343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 DRY FORK RD",
            "city": "VANSANT",
            "state": "VA",
            "postal_code": "246568369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CATAWBA RD STE 201",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832694",
            "telephone_number": "540-992-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MAVERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calming Waters Counseling LLC
• Anja Campbell, FNP
• Morgan Kay Champagne, D.C.
• Morgan Rea Chandler, OTR/L
• Jacob Chernichky, DC
• Amanda Cronauer, PT, DPT
• Jeffrey D'Aiuto
• Daleville Chiropractic Inc
• Kristen L Dehr, RDN
• Caitlyn A Delaney, PT, DPT

• Physical Therapist in Daleville, VA
• Providers in Daleville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.