Active NPI
Dawn Colette Coffelt, MS PT
- Physical Therapist
- Keller, TX
National Provider Identifier
1669449088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1142008
- Practice address
- 2200 Country Brook Dr.
Apt. 2110
Keller, TX 76248-1616 - Phone
- (970) 215-3300
- NPI assigned
- Mar 3, 2006
- 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 | 1142008 | TX | Primary |
Addresses
Primary practice location
2200 Country Brook Dr.
Apt. 2110
Keller, TX 76248-1616
Mailing address
2200 Country Brook Dr.
Apt. 2110
Keller, TX 76248
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142008 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1669449088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COUNTRY BROOK DR.",
"address_2": "APT. 2110",
"city": "KELLER",
"state": "TX",
"postal_code": "76248",
"fax_number": "817-498-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 COUNTRY BROOK DR.",
"address_2": "APT. 2110",
"city": "KELLER",
"state": "TX",
"postal_code": "762481616",
"telephone_number": "970-215-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFELT",
"first_name": "DAWN",
"middle_name": "COLETTE",
"name_prefix": "Mrs.",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1142008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.