Individual provider Active NPI

James Park Coleman, PT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1508932559
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6982 Issued in AZ
Practice address
4566 E Inverness 101
Mesa, AZ 85206
Phone
(480) 813-9191
Fax
(480) 813-0025
NPI assigned
Nov 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6982 AZ Primary

Addresses

Primary practice location

4566 E Inverness 101
Mesa, AZ 85206

Mailing address

49 W Canyon Rock Rd
Queen Creek, AZ 85243
Phone (480) 821-4715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000125 AZ Practitioner - Physical Therapist in Private Practice 5395821698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welch Physical Therapy and Sports Medicine, LLCGroup PAC ID 3779479837, 5 clinicians

Practice addresses (Care Compare)

2524 S San Tan Village Pkwy
Gilbert, AZ 85295-0299
Phone (480) 814-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6982AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Welch Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Jan 8, 2015 Accepting new patients
Advanced Physical Therapy, PC Physical Therapist PastSince Apr 21, 2025 Accepting new patients

Locations

2524 S San Tan Village Pkwy
Ste 107
Gilbert, AZ 85295
Phone (480) 814-8222

3011 S Lindsay Rd
Ste 114
Gilbert, AZ 85295
Phone (480) 814-8222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508932559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W CANYON ROCK RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85243",
            "telephone_number": "480-821-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-813-9191",
            "fax_number": "480-813-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JAMES",
        "middle_name": "PARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.