Petrea Ann Coleman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2366 Issued in GA

Practice address

4562 Lawrenceville Hwy NW
Suite 201
Lilburn, GA 30047-3618

Phone

(770) 806-4136

Fax

(770) 806-4139

NPI assigned

Jan 13, 2009

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)

Enrolled

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1568609527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 201",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473618",
            "telephone_number": "770-806-4136",
            "fax_number": "770-806-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 201",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473618",
            "telephone_number": "770-806-4136",
            "fax_number": "770-806-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "PETREA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "2366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathron H Cobb, LCSW, LMFT
• Mark Inman Cohen, D.D.S.
• William John Cohl III, D.C.
• Elena De Jesus Coil, RPH
• Lauren Patricia Cole
• Rachel H Collett, M.ED. CCC-SLP
• Robert Sherrod Collins Jr., LMSW
• Community Living Solutions, Inc.
• Comprehensive Dental Center
• Comprehensive Foot & Ankle

• Physical Therapist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.