Individual provider Active NPI

Patrick Coar, D.P.T.

  • Physical Therapist
  • Pequannock, NJ
National Provider Identifier
1932507415
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01587700 Issued in NJ
Practice address
62 4TH St
Pequannock, NJ 07440-1211
Phone
(973) 907-3937
NPI assigned
Dec 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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 40QA01587700 NJ Primary

Addresses

Primary practice location

62 4TH St
Pequannock, NJ 07440-1211

Mailing address

62 4TH St
Pequannock, NJ 07440-1211
Phone (973) 907-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809002478 GA Practitioner - Physical Therapist in Private Practice 2860896149 Reassigns benefits to 3 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
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

1800 Howell Mill Rd NW
Suite 200
Atlanta, GA 30318-0917
Phone (404) 352-1015

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01587700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoatlanta, LLC Current Accepting new patients
Resurgens, LLC CurrentSince Jun 15, 2021 Accepting new patients
Resurgens, LLC CurrentSince Jun 15, 2021 Accepting new patients
Orthoatlanta, LLC CurrentSince Jan 3, 2022 Accepting new patients
Piedmont Orthopedics, LLC CurrentSince Jan 3, 2022 Accepting new patients
Orthoatlanta, LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 200
Atlanta, GA 30318
Phone (404) 352-1015

2041 Mesa Valley Way
Ste 100
Austell, GA 30106
Phone (770) 944-1100

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 6

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1932507415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 4TH ST",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401211",
            "telephone_number": "973-907-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 4TH ST",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401211",
            "telephone_number": "973-907-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAR",
        "first_name": "PATRICK",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01587700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pequannock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.