Jeanne Coleman, PTA

Primary specialty

ContractorTaxonomy code 171W00000X

License

8717 Issued in MA

Practice address

206 Waltham St
West Newton, MA 02465-1733

Phone

(617) 527-9267

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

No

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.

• Tim Dreher PT & Associates, Inc.

  • Physical Therapist
  • Newton, MA
  • NPI 1609957679
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2015.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1962872127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HOVEY POND DR",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361577",
            "telephone_number": "508-320-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WALTHAM ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651733",
            "telephone_number": "617-527-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JEANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MA",
            "license": "8717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Koltookian Carey, ATC
• Jena H. Casbon, MS CCC-SLP
• Richard Vito Catrambone
• Choose You Therapy LLC
• Donna Marie Clarke, LICSW
• Kelsey Conroy, LCSW
• Joan M Corr, MD
• Stephanie Craig, PHD
• CVS Pharmacy Inc
• Gabrielle Dall

• All providers in West Newton, MA
• Contractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.