Individual provider Active NPI

Kristin Elizabeth Coleman, LPTA

  • Physical Therapy Assistant
  • Lansing, MI
National Provider Identifier
1801425152
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502002163 Issued in MI
Practice address
7402 Westshire Dr Ste 105
Lansing, MI 48917-8687
Phone
(517) 853-6800
Fax
(517) 853-6801
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502002163 MI Primary

Addresses

Primary practice location

7402 Westshire Dr Ste 105
Lansing, MI 48917-8687

Mailing address

7402 Westshire Dr Ste 105
Lansing, MI 48917-8687
Phone (517) 853-6800

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

LicenseStateTypeSpecialty
5502002163MIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy, PLC CurrentSince Apr 17, 2020 Accepting new patients
Ryan and Monica Wohlfert, PC CurrentSince Apr 17, 2020 Accepting new patients

Locations

7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718

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.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1801425152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178687",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178687",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502002163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.