Active NPI
Jan D Cofer, P.T.
- Geriatric Physical Therapist
- Raleigh, NC
National Provider Identifier
1467543736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- P11475
- Practice address
- 8000 Tobin PL
Raleigh, NC 27612-1915 - Phone
- (919) 417-0801
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5333 | TN | |
| Geriatric Physical Therapist | 2251G0304X | P11475 | NC | Primary |
| Geriatric Physical Therapist | 2251G0304X | 1204133 | TX |
Addresses
Primary practice location
8000 Tobin PL
Raleigh, NC 27612-1915
Mailing address
8000 Tobin PL
Raleigh, NC 27612-1915
Phone (919) 417-0801
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3123654 | Other | TN | BCBSTN |
| 0446566 | Medicaid | NC | |
| 0446566 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P11475 | NC | MD | Geriatric Physical Therapist |
| 1204133 | TX | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Knoxville, TN
- NPI 1336199033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1467543736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 TOBIN PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276121915",
"telephone_number": "919-417-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 TOBIN PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276121915",
"telephone_number": "919-417-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFER",
"first_name": "JAN",
"middle_name": "D",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "5333",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NC",
"license": "P11475",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1204133",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTN",
"identifier": "3123654",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446566",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446566",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.