The Coleman Therapy Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

2202002982 Issued in VA

Legal business name

THE COLEMAN THERAPY CENTER

Practice address

15109 Lee Hwy
Centreville, VA 20121-2122

Phone

(571) 242-2489

NPI assigned

Sep 14, 2008

Organization subpart

No

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

Authorized official

Name

Catherine Baer Coleman, SLP

Title

Director/Owner

Phone

(571) 242-2489

Specialties & licenses 1

Addresses

Other names 1

• SPEAC,LLC Other name

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

{
    "created_epoch": "1221350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221350400000",
    "number": "1972752038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13602 FERNBROOK CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201797",
            "telephone_number": "571-242-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15109 LEE HWY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212122",
            "telephone_number": "571-242-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLEMAN THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-14",
        "last_updated": "2008-09-14",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "BAER",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "571-242-2489",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "VA",
            "license": "2202002982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPEAC,LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Centreville, VA
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2008; 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.