Active NPI
William James Coon, ATC, PTA, CSCS, EMT
- Physical Therapy Assistant
- New Haven, CT
National Provider Identifier
1811061401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 000996
- Practice address
- 199 Whitney Ave
New Haven, CT 06511-3786 - Phone
- (203) 789-8873
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 000022 | CT | |
| Physical Therapy Assistant | 225200000X | 000996 | CT | Primary |
| Athletic Trainer | 2255A2300X | 000390 | CT |
Addresses
Primary practice location
199 Whitney Ave
New Haven, CT 06511-3786
Mailing address
60 Hawley Ave
Unit # 3
Milford, CT 06460-8116
Phone (203) 283-1085
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
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000996 | CT | MD | Physical Therapy Assistant |
| 000390 | CT | MD | Athletic Trainer |
| 000022 | CT | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207958400000",
"number": "1811061401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HAWLEY AVE",
"address_2": "UNIT # 3",
"city": "MILFORD",
"state": "CT",
"postal_code": "064608116",
"telephone_number": "203-283-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 WHITNEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113786",
"telephone_number": "203-789-8873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COON",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "ATC, PTA, CSCS, EMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2008-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "CT",
"license": "000022",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CT",
"license": "000996",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "000390",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.