Active NPI
Denise Poletti Coffman, P.T.
- Physical Therapist
- Stockton, CA
National Provider Identifier
1902976160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16415
- Practice address
- 1716 W Hammer LN
Stockton, CA 95209-2922 - Phone
- (209) 473-2383
- Fax
- (209) 473-1350
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16415 | CA | Primary |
Addresses
Primary practice location
1716 W Hammer LN
Stockton, CA 95209-2922
Mailing address
6311 Landmark Rd
Stockton, CA 95215-1845
Phone (209) 931-1610
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TSH Inc. | Physical Therapist | 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.
-
- Physical Therapist
- Lodi, CA
- NPI 1841396223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1902976160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311 LANDMARK RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952151845",
"telephone_number": "209-931-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 W HAMMER LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092922",
"telephone_number": "209-473-2383",
"fax_number": "209-473-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "DENISE",
"middle_name": "POLETTI",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "16415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.