Individual provider Active NPI

Adrianne Renee Coleman, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1578754073
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5542 Issued in SC
Practice address
6041 Garners Ferry Rd
Suite B
Columbia, SC 29209-1304
Phone
(803) 783-0684
Fax
(803) 783-1147
NPI assigned
Aug 8, 2007
Last updated
Jun 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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 5542 SC Primary

Addresses

Primary practice location

6041 Garners Ferry Rd
Suite B
Columbia, SC 29209-1304

Mailing address

1519 Taylor St
Columbia, SC 29201-2918
Phone (803) 779-8327

Other identifiers 5

IdentifierTypeStateIssuer
5542OtherSCSC PT LICENSE
426542OtherSCMEDICARE PROVIDER ID
1285798231OtherSCSATELLITE OFFICE NPI
1124249917OtherSCSATELLITE OFFICE NPI
1285699249OtherSCPRACTICE NPI

Other names 1

  • Adrianne Renee Moyer Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Physical Therapy Associates, Inc. Physical Therapist PastSince Aug 17, 2025 Accepting new patients

Organizations & group practices 1

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1578754073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012918",
            "telephone_number": "803-779-8327",
            "fax_number": "803-799-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 GARNERS FERRY RD",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091304",
            "telephone_number": "803-783-0684",
            "fax_number": "803-783-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ADRIANNE",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PT LICENSE",
            "identifier": "5542",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "426542",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SATELLITE OFFICE NPI",
            "identifier": "1285798231",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SATELLITE OFFICE NPI",
            "identifier": "1124249917",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1285699249",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANNE",
            "last_name": "MOYER",
            "middle_name": "RENEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.