Charles David Coffman, OTL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

02396 Issued in MD

Practice address

900 S Marlyn Ave
Baltimore, MD 21221-5843

Phone

(410) 665-1140

NPI assigned

Jan 31, 2020

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1700417409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 CUB HILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212341127",
            "telephone_number": "410-887-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MARLYN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212215843",
            "telephone_number": "410-665-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "credential": "OTL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "02396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Coelho, PT
• Skyler Coelho, DNP, APRN, CPNP-AC
• Savannah Beatrice Cofer, MD
• Vanessa L Coffey, D.O.
• Daria Coffield
• Emily Ann Coffman, OTR/L
• Amber Victoria Cofield
• Keenan Kester Cofield, MPH/PH.D/JD
• Lindsay Cofiell
• Joseph Cofrancesco, M.D.

• Pediatric Occupational Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.