Active NPI
Elizabeth Charles Coelho, PT
- Physical Therapist
- Murphysboro, IL
National Provider Identifier
1497909923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070009629
- Practice address
- 1441 N 14TH St
Murphysboro, IL 62966-2982 - Phone
- (618) 684-2136
- Fax
- (618) 687-1718
- NPI assigned
- Nov 11, 2008
- Last updated
- Nov 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070009629 | IL | Primary |
Addresses
Primary practice location
1441 N 14TH St
Murphysboro, IL 62966-2982
Mailing address
1112 Sandra CT
Murphysboro, IL 62966-2920
Phone (618) 684-2445
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070009629 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1497909923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 SANDRA CT",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629662920",
"telephone_number": "618-684-2445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N 14TH ST",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629662982",
"telephone_number": "618-684-2136",
"fax_number": "618-687-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COELHO",
"first_name": "ELIZABETH",
"middle_name": "CHARLES",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070009629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murphysboro, IL
- Care Trak International Inc
- Joshua David Chady, PHARMD
- Christina L Chancey
- Nathan L Chapman, D.M.D.
- Michael Bradley Clay, D.M.D.
- Comm Unit School Dist 186
- Comm Unit School Dist 186
- Comm Unit School District 186
- Comm Unit School District 186
- Community Life Concepts of Southern Illinois, NPC (Community Life Counseling Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.