Active NPI
Czarmi Ann Coffman, PT
- Physical Therapist
- Beaver Dam, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005866
- Practice address
- 227 S Main St
Beaver Dam, KY 42320-2131 - Phone
- (270) 274-9221
- Fax
- (270) 955-2003
- NPI assigned
- Feb 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 005866 | KY | Primary |
Addresses
Primary practice location
227 S Main St
Beaver Dam, KY 42320-2131
Mailing address
1088 Hidden Valley Dr
Morgantown, KY 42261-8550
Phone (270) 526-1111
Other practice location 1
1300 Campbell Ln
Bowling Green, KY 42104-4162
Phone (270) 782-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
227 S Main St
Beaver Dam, KY 42320-2131
Phone (270) 274-9221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005866 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuller Physical Therapy | Single Specialty | Current | Accepting new patients |
| The P.T. Place, Inc | Single Specialty | Past | Accepting new patients |
Locations
227 S Main St
Beaver Dam, KY 42320
Phone (270) 274-9221
358 S Main St
Leitchfield, KY 42754
Phone (270) 256-2932
113 Ashley Plaza Cir
Morgantown, KY 42261
Phone (270) 288-5105
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1366034837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 HIDDEN VALLEY DR",
"city": "MORGANTOWN",
"state": "KY",
"postal_code": "422618550",
"telephone_number": "270-526-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 S MAIN ST",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423202131",
"telephone_number": "270-274-9221",
"fax_number": "270-955-2003"
}
],
"practiceLocations": [
{
"address_1": "1300 Campbell Ln",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421044162",
"country_code": "US",
"telephone_number": "270-782-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COFFMAN",
"first_name": "CZARMI",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-06",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "KY",
"license": "005866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Dam, KY
- Bright Futures Behavioral Health
- Tyler Cherry, DPT
- Coffman Family Care and Wellness PLLC
- Coffman Family Care and Wellness, PLLC
- Angela Coffman, APRN-FNP-C, PMHNP
- Community Oxygen & Medical Equipment, Inc.
- Cooney Family Care PLLC
- Tina Gay Cooney, APRN, FNP-BC
- Katlin Cornelius
- Brittany Ann Cucci, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.