Individual provider Active NPI

Caleb Coe, PT, DPT, CSCS

  • Sports Physical Therapist
  • North Canton, OH
National Provider Identifier
1679288609
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
CP015367T Issued in OH
Practice address
8516 Cleveland Ave NW
North Canton, OH 44720-7908
Phone
(937) 789-7733
NPI assigned
Jan 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X CP015367T OH Primary

Addresses

Primary practice location

8516 Cleveland Ave NW
North Canton, OH 44720-7908

Mailing address

6676 Casper Dr NW
Canton, OH 44718-1002
Phone (937) 789-7733

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

LicenseStateTypeSpecialty
CP015367TOHMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Cat Performance & Physical Therapy Sports CurrentSince Apr 6, 2023 Accepting new patients

Locations

8516 Cleveland Ave NW
North Canton, OH 44720
Phone (937) 789-7733

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1679288609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6676 CASPER DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181002",
            "telephone_number": "937-789-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8516 CLEVELAND AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207908",
            "telephone_number": "937-789-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COE",
        "first_name": "CALEB",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "CP015367T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.