Individual provider Active NPI

Keregay Meeks Coleman

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1376896498
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27280 Issued in FL
Practice address
301 NE 141St St
Miami, FL 33161-2837
Phone
(305) 893-1102
NPI assigned
Oct 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27280 FL Primary

Addresses

Primary practice location

301 NE 141St St
Miami, FL 33161-2837

Mailing address

301 NE 141St St
Miami, FL 33161-2837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013000231 FL Practitioner - Physical Therapist in Private Practice 3779892831 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT27280FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Rehabilitation Center, Inc. Physical Therapist CurrentSince Nov 8, 2019 Accepting new patients
In Home Rehab of Florida PLLC Physical Therapist CurrentSince Jan 9, 2015 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 11, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 11, 2024 Accepting new patients
Neurological Testing Centers of America Inc. Past Accepting new patients

Locations

2500 E Hallandale Beach Blvd
Ste 210
Hallandale Beach, FL 33009
Phone (954) 458-2202

9900 Stirling Rd
Ste 303
Hollywood, FL 33024
Phone (954) 432-8872

Organizations & group practices 5

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": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1376896498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE 141ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE 141ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612837",
            "telephone_number": "305-893-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS COLEMAN",
        "first_name": "KEREGAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.

Verify at the official NPI Registry.