Shelby Lynn Coleman, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTA.0015178 Issued in CO

Practice address

6908 Charity CT
Frederick, CO 80530-4802

Phone

(720) 438-5124

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1477289015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 CHARITY CT",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805304802",
            "telephone_number": "720-438-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 CHARITY CT",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805304802",
            "telephone_number": "720-438-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "PTA.0015178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carbon Valley Eye Care
• Patricia Ann Carlson, MA, LPC
• Marc Derick Catbagan, PHARMD
• Catholic Health Initiatives Colorado (Centura Health Emergency and Urgent Care - Indian Peaks)
• Tara N Clemens, PA
• Aiyla Cook
• Kristina L Coonce, MA, LPC
• Crossroads Surgical Assisting LLC
• Michael Joseph Daly
• Erin Daugherty, LPCC

• Physical Medicine & Rehabilitation Physician in Frederick, CO
• Providers in Frederick, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.