Darrell Wayne Coleson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2007006285 Issued in MO

Practice address

150 S Mount Auburn Rd
Cape Girardeau, MO 63703-4910

Phone

(573) 331-3000

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417070814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 GURLEY LOOP",
            "city": "BUNCOMBE",
            "state": "IL",
            "postal_code": "629123006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034910",
            "telephone_number": "573-331-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLESON",
        "first_name": "DARRELL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2007006285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Vision Corporation
• Billy Joe Coleman, BA
• Cassy A Coleman, FNP
• Matthew J Coleman, M.D.
• Takiyah C Coleman
• Carmon Allen Collier, CRNA
• Christina Michelle Collier
• Leighanne Collier, RD LD
• Holly Lynn Collins
• Comfort Care in Home Services Inc.

• Physical Therapy Assistant in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.