Individual provider Active NPI

Jessica Pope Coffey, DPT

  • Physical Therapist
  • Augusta, GA
National Provider Identifier
1821581257
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9145 Issued in SC
Practice address
3604 Verandah Dr Ste Aandb
Augusta, GA 30909-5608
Phone
(706) 250-0081
Fax
(762) 320-5338
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014071 GA
Clinical Electrophysiology Physical Therapist 2251E1300X PT014071 GA
Physical Therapist 225100000X 9145 SC Primary

Addresses

Primary practice location

3604 Verandah Dr Ste Aandb
Augusta, GA 30909-5608

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (630) 296-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605003369 GA Practitioner - Physical Therapist in Private Practice 0547517070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9145SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Physical Therapy and Pilates Studio LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist PastSince Jul 5, 2026 Accepting new patients
MCM Rehabilitation LLC PastSince Jul 15, 2026 Accepting new patients

Locations

3604 Verandah Dr
Ste A
Augusta, GA 30909
Phone (706) 250-0081

3604 Verandah Dr
Augusta, GA 30909
Phone (706) 250-0081

3604 Verandah Dr
Ste B
Augusta, GA 30909
Phone (706) 250-0425

Organizations & group practices 3

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1821581257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 VERANDAH DR STE AANDB",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095608",
            "telephone_number": "706-250-0081",
            "fax_number": "762-320-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JESSICA",
        "middle_name": "POPE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014071",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "GA",
            "license": "PT014071",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.