Active NPI
Brandi Coen, PT, MPT
- Pediatric Physical Therapist
- Santa Ana, CA
National Provider Identifier
1881926350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT29111
- Practice address
- 1220 Hemlock Way Ste 202
Santa Ana, CA 92707-3656 - Phone
- (714) 656-2371
- Fax
- (949) 608-1549
- NPI assigned
- Feb 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT29111 | CA | Primary |
Addresses
Primary practice location
1220 Hemlock Way Ste 202
Santa Ana, CA 92707-3656
Mailing address
17537 Santa Elena Cir
Fountain Valley, CA 92708-4316
Phone (714) 310-3772
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT29111 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head to Toe Therapy | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1881926350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17537 SANTA ELENA CIR",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084316",
"telephone_number": "714-310-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 HEMLOCK WAY STE 202",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927073656",
"telephone_number": "714-656-2371",
"fax_number": "949-608-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COEN",
"first_name": "BRANDI",
"credential": "PT, MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT29111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.