Individual provider Active NPI

Amanda Coleman

  • Orthopedic Physical Therapist
  • Westerville, OH
National Provider Identifier
1922581719
Registry record updated Sep 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
10850 Issued in OH
Practice address
300 Polaris Pkwy Ste 2200
Westerville, OH 43082-7993
Phone
(614) 533-3211
NPI assigned
Sep 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 10850 OH Primary

Addresses

Primary practice location

300 Polaris Pkwy Ste 2200
Westerville, OH 43082-7993

Mailing address

2333 Meadowshire Rd
Galena, OH 43021-9397

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190103000665 OH Practitioner - Physical Therapist in Private Practice 9436494903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine SpecialistsGroup PAC ID 2769792001, 6 clinicians

Practice addresses (Care Compare)

1270 E Powell Rd
Lewis Center, OH 43035-8619
Phone (614) 981-2065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Specialists CurrentSince Nov 29, 2021 Accepting new patients

Locations

1344 W Lane Ave
Columbus, OH 43221
Phone (614) 981-1979

5792 N Hamilton Rd
Ste C
Columbus, OH 43230
Phone (614) 981-2065

358 S Hamilton Rd
Ste A
Gahanna, OH 43230
Phone (614) 981-9517

1270 E Powell Rd
Lewis Center, OH 43035
Phone (614) 432-6401

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": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1922581719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MEADOWSHIRE RD",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "430219397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY STE 2200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827993",
            "telephone_number": "614-533-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "10850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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.