Active NPI
Samuel Coley, PT
- Physical Therapist
- Columbus, GA
National Provider Identifier
1962936708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010450
- Practice address
- 2300A Manchester Expy Ste 101B
Columbus, GA 31904-6812 - Phone
- (706) 256-0825
- NPI assigned
- Apr 19, 2017
- Sex
- Male
- 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 | PT010450 | GA | Primary |
Addresses
Primary practice location
2300A Manchester Expy Ste 101B
Columbus, GA 31904-6812
Mailing address
2300A Manchester Expy Ste 101B
Columbus, GA 31904-6812
Phone (706) 256-0825
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010450 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1962936708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300A MANCHESTER EXPY STE 101B",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046812",
"telephone_number": "706-256-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300A MANCHESTER EXPY STE 101B",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046812",
"telephone_number": "706-256-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEY",
"first_name": "SAMUEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-19",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.