Individual provider Active NPI

Cameron Coghill, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1801077664
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34681 Issued in FL
Practice address
1303 N Tamiami TRL
Sarasota, FL 34236-2432
Phone
(941) 953-6949
Fax
(941) 954-5827
NPI assigned
Nov 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 PT34681 FL Primary

Addresses

Primary practice location

1303 N Tamiami TRL
Sarasota, FL 34236-2432

Mailing address

5050 Central Sarasota Pkwy Apt 305
Sarasota, FL 34238-7604
Phone (941) 250-5559

Other identifiers 1

IdentifierTypeStateIssuer
PT23578OtherFLLICENSE

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
PT34681FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Body Clinic Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1801077664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CENTRAL SARASOTA PKWY APT 305",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342387604",
            "telephone_number": "941-250-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362432",
            "telephone_number": "941-953-6949",
            "fax_number": "941-954-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGHILL",
        "first_name": "CAMERON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT23578",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.