Active NPI
Erin Marie Coyle, PT
- Pediatric Physical Therapist
- Mechanicsburg, PA
National Provider Identifier
1609077254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT010672L
- Practice address
- 124 Sholly Dr
Mechanicsburg, PA 17055-5841 - Phone
- (717) 795-8118
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT010672L | PA | Primary |
Addresses
Primary practice location
124 Sholly Dr
Mechanicsburg, PA 17055-5841
Mailing address
124 Sholly Dr
Mechanicsburg, PA 17055-5841
Phone (717) 975-0611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001927572 0002 | Other | PA | MEDICAL ASSISTANCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010672L | PA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1609077254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SHOLLY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170555841",
"telephone_number": "717-975-0611",
"fax_number": "717-975-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SHOLLY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170555841",
"telephone_number": "717-795-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYLE",
"first_name": "ERIN",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "PA",
"license": "PT010672L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "001927572 0002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.