Individual provider Active NPI

Ben Coleman, CTRS

  • Recreation Therapist
  • Kalamazoo, MI
National Provider Identifier
1497003271
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
61019 Issued in MI
Practice address
5990 Venture Park Dr
Kalamazoo, MI 49009-1858
Phone
(269) 532-1470
NPI assigned
Aug 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 61019 MI Primary

Addresses

Primary practice location

5990 Venture Park Dr
Kalamazoo, MI 49009-1858

Mailing address

200 Vista Dr
Coldwater, MI 49036-1776

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61019MIMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network - Rehabilitation Services CurrentSince May 19, 2024 Accepting new patients
Hope Network - Rehabilitation Services PastSince May 19, 2024 Accepting new patients

Locations

200 Vista Dr
Coldwater, MI 49036
Phone (517) 278-2129

5990 Venture Park Dr
Kalamazoo, MI 49009
Phone (269) 492-7842

Organizations & group practices 2

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1497003271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VISTA DR",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 VENTURE PARK DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091858",
            "telephone_number": "269-532-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BEN",
        "name_prefix": "Mr.",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "61019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.