Active NPI
Joy Coleman, PT
- Physical Therapist
- St Petersburg, FL
National Provider Identifier
1679095715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21757
- Practice address
- 6775 40TH Ave N
Saint Petersburg, FL 33709-4939 - Phone
- (727) 803-1102
- Fax
- (727) 502-6027
- NPI assigned
- Jul 11, 2017
- Last updated
- Jan 7, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21757 | FL | Primary |
Addresses
Primary practice location
6775 40TH Ave N
Saint Petersburg, FL 33709-4939
Mailing address
260 1St Ave S Ste 200
Saint Petersburg, FL 33701-4364
Phone (727) 308-9848
Other practice location 1
8458 Gardens Cir Apt 11
Sarasota, FL 34243-3073
Phone (727) 735-1322
Other names 1
- Joy Johnson
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 |
|---|---|---|---|
| 21757 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1679095715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 1ST AVE S STE 200",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014364",
"telephone_number": "727-308-9848",
"fax_number": "727-502-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6775 40TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337094939",
"telephone_number": "727-803-1102",
"fax_number": "727-502-6027"
}
],
"practiceLocations": [
{
"address_1": "8458 Gardens Cir Apt 11",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342433073",
"country_code": "US",
"telephone_number": "727-735-1322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "JOY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "21757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOY",
"last_name": "JOHNSON",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.