Active NPI
Hayley Coker, PT, DPT
- Physical Therapist
- Macomb, IL
National Provider Identifier
1649976010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070029861
- Practice address
- 505 E Grant St Ste 110
Macomb, IL 61455-3308 - Phone
- (309) 833-1733
- Fax
- (309) 836-2369
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1841561446
Physical Therapist, VA
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1130 S 6TH St
Springfield, IL 62703-2406
PO Box
Springfield, IL 62794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250325002943 | VA | Practitioner - Physical Therapist in Private Practice | 2163945650 | Reassigns benefits to 1 organization |
| I20260608000498 | IL | Practitioner - Physical Therapist in Private Practice | 2163945650 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117099 | IA | MD | Physical Therapist |
| 2305215596 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
Locations
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
1410 N Augusta St
#A
Staunton, VA 24401
3317 Ocean Shore Ave
Virginia Beach, VA 23451
Phone (757) 232-3179
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070029861 | IL | Primary |
| Physical Therapist | 225100000X | 117099 | IA | |
| Physical Therapist | 225100000X | 2305215596 | VA |
Addresses
NPPES NPI RegistryPrimary practice location
505 E Grant St Ste 110
Macomb, IL 61455-3308
Mailing address
16135 N 1050TH Rd
Macomb, IL 61455-8594
Phone (309) 333-7937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2026.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1649976010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16135 N 1050TH RD",
"city": "MACOMB",
"state": "IL",
"postal_code": "614558594",
"telephone_number": "309-333-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E GRANT ST STE 110",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553308",
"telephone_number": "309-833-1733",
"fax_number": "309-836-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKER",
"first_name": "HAYLEY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070029861",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "117099",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215596",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.