Active NPI
Priscilla Anne Coyner, MPT PCS
- Physical Therapist
- Issaquah, WA
National Provider Identifier
1770627952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002750
- Practice address
- 710 NW Juniper St
Suite104
Issaquah, WA 98027-2717 - Phone
- (425) 392-7989
- Fax
- (425) 391-2554
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002750 | WA | Primary |
Addresses
Primary practice location
710 NW Juniper St
Suite104
Issaquah, WA 98027-2717
Mailing address
14917 256TH Ave SE
Issaquah, WA 98027-8333
Phone (425) 392-7989
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO2118 | Other | WA | REGENCE |
| 7038037 | Medicaid | WA |
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 |
|---|---|---|---|
| PT00002750 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RWW Pediatric Rehab Services LLC | Physical Therapist | Past | Accepting new patients |
| Northwest Pediatric Therapies, PS | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Issaquah, WA
- NPI 1306903877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770627952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14917 256TH AVE SE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278333",
"telephone_number": "425-392-7989",
"fax_number": "425-391-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 NW JUNIPER ST",
"address_2": "SUITE104",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272717",
"telephone_number": "425-392-7989",
"fax_number": "425-391-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYNER",
"first_name": "PRISCILLA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MPT PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "CO2118",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7038037",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.