Individual provider Active NPI

Megan E Coble, DPT

  • Physical Therapist
  • Pulaski, TN
National Provider Identifier
1881007458
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10009 Issued in TN
Practice address
1119 E College St Ste 3
Pulaski, TN 38478-4564
Phone
(931) 330-0850
Fax
(931) 330-0855
NPI assigned
Jun 11, 2014
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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 10009 TN Primary

Addresses

Primary practice location

1119 E College St Ste 3
Pulaski, TN 38478-4564

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Other practice location 1

203 Village Sq
Pulaski, TN 38478-2929
Phone (931) 424-5588

Other names 1

  • Megan E Boatright Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812000395 TN Practitioner - Physical Therapist in Private Practice 4183841349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1229 Huntsville Hwy
Suite B
Fayetteville, TN 37334-3685
Phone (931) 532-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10009TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2015 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince May 1, 2023 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince May 1, 2023 Accepting new patients

Locations

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

1229 Huntsville Hwy
Ste B
Fayetteville, TN 37334
Phone (205) 999-4622

820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8930

1119 E College St
Ste 3
Pulaski, TN 38478
Phone (931) 330-0850

203 Village Sq
Pulaski, TN 38478
Phone (931) 424-5588

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1881007458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST STE 3",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784564",
            "telephone_number": "931-330-0850",
            "fax_number": "931-330-0855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Village Sq",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "TN",
            "postal_code": "384782929",
            "country_code": "US",
            "telephone_number": "931-424-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBLE",
        "first_name": "MEGAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BOATRIGHT",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.