Gerald S Coleman, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT00000920 Issued in WA

Practice address

2302 S Union Ave
Suite B-10
Tacoma, WA 98405-1300

Phone

(253) 752-9303

Fax

(253) 756-7175

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1902806862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "address_2": "SUITE B-10",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-9303",
            "fax_number": "253-756-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "address_2": "SUITE B-10",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-9303",
            "fax_number": "253-756-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "GERALD",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PT00000920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "97699",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7011869",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shauri Coleman-Brown, LMHC
• Charles Coleman, PA-C
• Cierra Ze' Nique Coleman, LSWAIC
• Danielle Ashley Coleman, M.D.
• Frankie Coleman Jr.
• Larissa E Coleman, MD
• Lisa Michelle Coleman, LICSW
• Mary Coleman, M.D.
• Rachel Rae Coleman
• Ryan Coleman, M.S. SLP

• Specialist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.