Individual provider Active NPI

Julie Marie Coffman, PT, CWS

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1790802585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 21957 Issued in CA
Practice address
16366 Avenida Venusto Unit D
San Diego, CA 92128-3261
Phone
(858) 442-8710
Fax
(858) 521-0970
NPI assigned
Mar 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 21957 CA Primary

Addresses

Primary practice location

16366 Avenida Venusto Unit D
San Diego, CA 92128-3261

Mailing address

16366 Avenida Venusto Unit D
San Diego, CA 92128-3261
Phone (858) 442-8710

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 21957CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790802585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16366 AVENIDA VENUSTO UNIT D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283261",
            "telephone_number": "858-442-8710",
            "fax_number": "858-521-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16366 AVENIDA VENUSTO UNIT D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283261",
            "telephone_number": "858-442-8710",
            "fax_number": "858-521-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PT, CWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 21957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

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.

Verify at the official NPI Registry.