NPIMap

Individual provider Active NPI

Roger L Coffey, P.T.

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1598978504
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1119170 Issued in TX
Practice address
894 Loop 337 Ste C
New Braunfels, TX 78130-3546
Phone
(830) 609-2000
Fax
(830) 606-4028
NPI assigned
May 7, 2007
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 37380 CA
Physical Therapist 225100000X 3165 NM
Physical Therapist 225100000X PT0000002530 TN
Physical Therapist 225100000X 1119170 TX Primary

Addresses

Primary practice location

894 Loop 337 Ste C
New Braunfels, TX 78130-3546

Mailing address

PO Box 1308
Coppell, TX 75019-1300
Phone (830) 609-2000

Other practice location 1

2404 S. Locust St.
Suite 5
Las Cruces, NM 88001-2404
Phone (575) 521-4296

Other identifiers 1

IdentifierTypeStateIssuer
95600060MedicaidNM

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
37380CAMDPharmacist
PT0000002530TNMDPhysical Therapist
3165NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Rancho Physical Therapy PastSince Aug 19, 1996 Accepting new patients
Southwest Sport and Spine Center Inc Physical Therapist PastSince Apr 7, 2000 Accepting new patients
Real View Diagnostics LLC Physical Therapist Past Accepting new patients
Armada Physical Therapy of Albuquerque LLC PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 4

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1598978504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750191300",
            "telephone_number": "830-609-2000",
            "fax_number": "830-606-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 LOOP 337 STE C",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303546",
            "telephone_number": "830-609-2000",
            "fax_number": "830-606-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2404 S. Locust St.",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880012404",
            "country_code": "US",
            "telephone_number": "575-521-4296",
            "fax_number": "575-521-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "ROGER",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37380",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3165",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000002530",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1119170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95600060",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.