William Carl Coggin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6587 Issued in NC

Practice address

1915 W Park Dr Ste 102
North Wilkesboro, NC 28659-3777

Phone

(336) 903-9293

NPI assigned

Nov 25, 2018

Last updated

Nov 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Associates of Wilkes LLC

  • Physical Therapist
  • North Wilkesboro, NC
  • NPI 1922183920
  NPD (past)

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1689143364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 GREENHORN RD",
            "city": "ROARING RIVER",
            "state": "NC",
            "postal_code": "286698047",
            "telephone_number": "336-566-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR STE 102",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593777",
            "telephone_number": "336-903-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGIN",
        "first_name": "WILLIAM",
        "middle_name": "CARL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-25",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clca Mobility Services LLC (Carolina Mobility Services)
• Nancy Michelle Cleary
• Cassandra Grace Clifford
• Matthew Cline, MD
• Harry Milton Cockerham Jr.
• Lisa G. Cole
• Maria Regina Coles
• Community Home Care & Hospice, LLC (Gentiva)
• Deborah Gaye Compton
• Brian Kelly Cook

• Physical Therapy Assistant in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; 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.