Active NPI
Nicole Coleman, DPT
- Physical Therapist
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208658
- Practice address
- 680B Kingsborough SQ Ste B
Chesapeake, VA 23320-4986 - Phone
- (757) 547-0264
- NPI assigned
- Jul 19, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012160 | GA | |
| Physical Therapist | 225100000X | 2305208658 | VA | Primary |
Addresses
Primary practice location
680B Kingsborough SQ Ste B
Chesapeake, VA 23320-4986
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Other practice location 1
1301 Cedar Rd
Chesapeake, VA 23322-7105
Phone (757) 512-7626
Other practice location 2
1035 Southcrest Dr
Stockbridge, GA 30281-6118
Phone (770) 389-9052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA, VA
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012160 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Sport & Spine Therapy of Marin Inc | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Sport & Spine Therapy of Marin Inc | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients |
Locations
88 Rowland Way
Ste 250
Novato, CA 94945
Phone (415) 484-1163
2725 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (770) 649-0808
1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000
680 Kingsborough Sq
Ste B
Chesapeake, VA 23320
Phone (757) 547-0434
1301 Cedar Rd
Chesapeake, VA 23322
Phone (757) 512-7626
Organizations & group practices 11
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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1982657433
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Physical Therapist
- Alpharetta, GA
- NPI 1386917532
-
- Orthopedic Physical Therapist
- Novato, CA
- NPI 1174578199
-
dba The Weston Health Care Group Inc
- Physical Therapist
- Acworth, GA
- NPI 1841309101
-
- Physical Medicine & Rehabilitation Physician
- Verona, VA
- NPI 1235955709
Physical Therapist
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
-
- Orthopedic Physical Therapist
- San Anselmo, CA
- NPI 1154388577
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1447773718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680B KINGSBOROUGH SQ STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204986",
"telephone_number": "757-547-0264"
}
],
"practiceLocations": [
{
"address_1": "1301 Cedar Rd",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233227105",
"country_code": "US",
"telephone_number": "757-512-7626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1035 Southcrest Dr",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302816118",
"country_code": "US",
"telephone_number": "770-389-9052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012160",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.