Individual provider Active NPI

Tracy Lynn Coughlin, P.T.

  • Physical Therapist
  • Greensburg, PA
National Provider Identifier
1407095813
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008927L Issued in PA
Practice address
4536 Route 136 Ste 12
Greensburg, PA 15601
Phone
(724) 830-8815
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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 PT008927L PA Primary

Addresses

Primary practice location

4536 Route 136 Ste 12
Greensburg, PA 15601

Mailing address

4536 Route 136 Ste 12
Greensburg, PA 15601-7918
Phone (724) 830-8815

Other practice location 1

406 Route 217 Ste A
Latrobe, PA 15650-3431
Phone (724) 537-0881

Other practice location 2

406 Route 217 Ste A
Latrobe, PA 15650-3431
Phone (724) 537-0881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212000135 PA Practitioner - Physical Therapist in Private Practice 4587908926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008927LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Physical Therapy Institute Physical Therapist Past Accepting new patients
Jamie P. Diandreth Physical Therapy PastSince Nov 1, 2018 Accepting new patients
The Physical Therapy Institute Past Accepting new patients

Organizations & group practices 4

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1407095813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 ROUTE 136 STE 12",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017918",
            "telephone_number": "724-830-8815",
            "fax_number": "724-830-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 ROUTE 136 STE 12",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-830-8815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Route 217 Ste A",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156503431",
            "country_code": "US",
            "telephone_number": "724-537-0881",
            "fax_number": "724-537-3371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Route 217 Ste A",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156503431",
            "country_code": "US",
            "telephone_number": "724-537-0881",
            "fax_number": "724-537-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008927L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.