Shaun William Coffman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012170 Issued in OH

Practice address

7277 Smiths Mill Rd
Ste 100
New Albany, OH 43054-8195

Phone

(614) 855-8030

Fax

(614) 855-8304

NPI assigned

Aug 28, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1376791632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 BAYTON PL",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 SMITHS MILL RD",
            "address_2": "STE 100",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548195",
            "telephone_number": "614-855-8030",
            "fax_number": "614-855-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "SHAUN",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108341",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000364417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhea Chung
• Felisha Michelle Clinkscale
• Coast to Coast California
• Coast to Coast Healthcare Incorporated
• Kendall Coffman, IMFT
• Cole Family Chiropractic, Inc.
• Erin Cole, D.C.
• Michael Cole, D.C.
• David Colella, D.O.
• Michael Lange Collins, PT, DPT, OCS

• Physical Therapist in New Albany, OH
• Providers in New Albany, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.