Organization Active NPI

Terry J Coy

Doing business as Pointe East Physical Rehabilitation

  • Physical Therapist
  • Glen Carbon, IL
National Provider Identifier
1942359872
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TERRY J COY
Doing business as
Pointe East Physical Rehabilitation
Practice address
3407 S State Route 157
Suite 2
Glen Carbon, IL 62034-1042
Phone
(618) 288-5229
Fax
(618) 288-9879
NPI assigned
Jan 9, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Terry Coy
Title
Owner
Phone
(618) 288-5229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3407 S State Route 157
Suite 2
Glen Carbon, IL 62034-1042

Mailing address

3407 S State Route 157
Suite 2
Glen Carbon, IL 62034-1042
Phone (618) 288-5229

Other identifiers 1

IdentifierTypeStateIssuer
208371OtherILMEDICARE PTAN

Other names 1

  • Pointe East Physical Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

3407 S State Route 157
Ste 2
Glen Carbon, IL 62034
Phone (618) 288-5229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1942359872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 S STATE ROUTE 157",
            "address_2": "SUITE 2",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341042",
            "telephone_number": "618-288-5229",
            "fax_number": "618-288-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 S STATE ROUTE 157",
            "address_2": "SUITE 2",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341042",
            "telephone_number": "618-288-5229",
            "fax_number": "618-288-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY J COY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "COY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-288-5229"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "208371",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pointe East Physical Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.