Active NPI
Debra Elaine Coglianese, PT, DPT, OCS, ATC
- Orthopedic Physical Therapist
- Wynnewood, PA
National Provider Identifier
1689055857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT018873
- Practice address
- 608 Wayfield Rd
Wynnewood, PA 19096-2444 - Phone
- (610) 649-3756
- NPI assigned
- Jun 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT018873 | PA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 9721 | MA |
Addresses
Primary practice location
608 Wayfield Rd
Wynnewood, PA 19096-2444
Mailing address
608 Wayfield Rd
Wynnewood, PA 19096-2444
Phone (610) 649-3756
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT018873 | PA | MD | Orthopedic Physical Therapist |
| 9721 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434240000000",
"number": "1689055857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 WAYFIELD RD",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962444",
"telephone_number": "610-649-3756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 WAYFIELD RD",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962444",
"telephone_number": "610-649-3756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGLIANESE",
"first_name": "DEBRA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-14",
"last_updated": "2015-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT018873",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "9721",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.