Individual provider Active NPI

Mary Coleman

  • Occupational Therapist
  • Foley, AL
National Provider Identifier
1346913597
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
21040 Miflin Rd
Foley, AL 36535-9296
Phone
(251) 923-0888
NPI assigned
Jul 25, 2021
Last updated
Jul 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

21040 Miflin Rd
Foley, AL 36535-9296

Mailing address

7026 Steinmeier Dr W
Indianapolis, IN 46220-3964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109002924 AL Practitioner - Occupational Therapist in Private Practice 6709284318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coasttherapy, Inc.Group PAC ID 8527081371, 5 clinicians

Practice addresses (Care Compare)

21040 Mifflin Rd
Foley, AL 36535-9297
Phone (251) 923-0888

9890 Twin Beech Rd
Fairhope, AL 36532-4792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5597ALMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Therapy, Inc. CurrentSince Sep 3, 2021 Accepting new patients

Locations

9890 Twin Beech Rd
Fairhope, AL 36532
Phone (251) 928-7312

21040 Miflin Rd
Ste 1
Foley, AL 36535
Phone (251) 209-5781

1903 Spring Hill Ave
Mobile, AL 36607
Phone (251) 476-0525

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1346913597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 STEINMEIER DR W",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21040 MIFLIN RD",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365359296",
            "telephone_number": "251-923-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.

Verify at the official NPI Registry.