Kathleen D Coale, P.T., D.P.T, CEEAA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11002 Issued in MA

Practice address

Heritage Place, Building 1, Suite 101
439 South Union Street
Lawrence, MA 01843

Phone

(978) 686-2983

Fax

(978) 686-0684

NPI assigned

Dec 21, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1629540158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HERITAGE PLACE, BUILDING 1, SUITE 101",
            "address_2": "439 SOUTH UNION STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01843",
            "telephone_number": "978-686-2983",
            "fax_number": "978-686-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HERITAGE PLACE, BUILDING 1, SUITE 101",
            "address_2": "439 SOUTH UNION STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01843",
            "telephone_number": "978-686-2983",
            "fax_number": "978-686-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COALE",
        "first_name": "KATHLEEN",
        "middle_name": "D",
        "credential": "P.T., D.P.T, CEEAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Class, Inc.
• Mayra Class
• Courtney Cloud, MD
• Francis Clouse, EDD
• Jeanette Cloutier, M.D.
• Katherine Elizabeth Cochran, MA, CEIS
• Thomas P Cody, M.D.
• Linda Coffin, LMHC
• Elana Cohen, MD
• Martin S. Cohen, PH.D.

• Physical Therapist in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.