Active NPI
Erin J. Coughenour, DPT
- Physical Therapist
- Clearwater, FL
National Provider Identifier
1598998056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6054
- Practice address
- 3001 Eastland Blvd
Suite 3B
Clearwater, FL 33761-4104 - Phone
- (727) 797-7600
- Fax
- (727) 797-7655
- NPI assigned
- Sep 1, 2009
- 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 | 6054 | SC | Primary |
Addresses
Primary practice location
3001 Eastland Blvd
Suite 3B
Clearwater, FL 33761-4104
Mailing address
3001 Eastland Blvd
Suite 3B
Clearwater, FL 33761-4104
Phone (727) 797-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y05E2 | Other | FL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6054 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy LLC | Past | Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Proaxis Spartanburg, LLC | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Physical Therapist
- Spartanburg, SC
- NPI 1902841794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1598998056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 EASTLAND BLVD",
"address_2": "SUITE 3B",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337614104",
"telephone_number": "727-797-7600",
"fax_number": "727-797-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 EASTLAND BLVD",
"address_2": "SUITE 3B",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337614104",
"telephone_number": "727-797-7600",
"fax_number": "727-797-7655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHENOUR",
"first_name": "ERIN",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-01",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y05E2",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.