Michelle Coffman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3018 Issued in OR

Practice address

1215 SE 8TH Ave Ste D
Portland, OR 97214-3497

Phone

(503) 208-4360

Fax

(503) 200-1148

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360 Degree Sports Medicine and Spine Therapy LLCGroup PAC ID 8729164249, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 360 Degree Sports Medicine & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Portland, OR
  • NPI 1528268588
  Medicare reassignment Care Compare group NPD Authorized official
• New Heights Integrative Therapy Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1558308478
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1821146366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SE 8TH AVE STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143497",
            "telephone_number": "503-208-4360",
            "fax_number": "503-200-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SE 8TH AVE STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143497",
            "telephone_number": "503-208-4360",
            "fax_number": "503-200-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009569",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "3018",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Coffin
• Trina A Coffin
• Annie Rebecca Coffman, RN
• Jennifer K Coffman, M.D.
• Melissa Coffman
• Shayla Quynh Coffman, RDH
• Gordon Cogan, ND
• Megan Coggins
• Sandra N Coggins, LMT
• Gissele Coghlan

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.