Michael A Coalson, L.P.T
Individual provider Active NPI Physical Therapist · Staunton, IL
NPI 1730247263 · NPPES record last updated Mar 4, 2008
Key facts
- NPI
- 1730247263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 400 N Caldwell St
Staunton, IL 62088-1423 - Phone
- (618) 635-4273
- Fax
- (618) 635-4272
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Schwegel Physical Therapy PC
Practice addresses (Care Compare)
310 S County Rd
Hardin, IL 62047-4414
Phone (618) 368-2781
3550 College Ave
Alton, IL 62002-5008
Phone (618) 462-1133
816 S Main St
Suite 1a
Columbia, IL 62236-2489
Phone (618) 636-2786
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070201000090 | IL | Practitioner - Physical Therapist in Private Practice | 1658373899 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070015451 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schwegel Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Gateway Rehabilitation Taylorville LLC | Physical Therapist | Past | Accepting new patients |
| Alton Physical Therapy, P.C. | Physical Therapist | Past |
Accepting new patients |
Locations
1719 Clawson St
Alton, IL 62002
Phone (618) 462-1133
3550 College Ave
Alton, IL 62002
Phone (618) 462-1133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
400 N Caldwell St
Staunton, IL 62088-1423
Mailing address
1719 Clawson St
Alton, IL 62002-4702
Phone (161) 846-2113
Other providers in Staunton, IL
- Josh Buschling
- John B Caldieraro Jr.
- John Batista Caldieraro III
- Thomas Albert Cioni
- Clarkson Optometry Illinois PC
- Community Hospital of Staunton
- Community Hospital of Staunton
- Community Hospital of Staunton
- Community Hospital of Staunton
- Amy Costa
All providers in Staunton, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.