Individual provider Active NPI

Emilie Lynn Coffman, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Glendale, AZ
National Provider Identifier
1992284111
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
30160 Issued in AZ
Practice address
4344 W Bell Rd Ste 100
Glendale, AZ 85308-3589
Phone
(602) 548-9882
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 30160 AZ Primary

Addresses

Primary practice location

4344 W Bell Rd Ste 100
Glendale, AZ 85308-3589

Mailing address

5825 N 8TH PL
Phoenix, AZ 85014-2157
Phone (360) 980-0559

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925002623 AZ Practitioner - Physical Therapist in Private Practice 8921359258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

2940 E Banner Gateway Dr
Suite 425
Gilbert, AZ 85234-2177
Phone (480) 813-7900

9321 W Thomas Rd
Suite 135
Phoenix, AZ 85037-3389
Phone (623) 264-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30160AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Aug 27, 2018 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Aug 27, 2018 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Locations (25 of 42)

13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 547-4787

10750 W McDowell Rd
Ste B210
Avondale, AZ 85392
Phone (623) 907-0746

20770 W Market St
Ste 106
Buckeye, AZ 85396
Phone (623) 278-7520

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

4015 S Arizona Ave
Ste C2
Chandler, AZ 85248
Phone (480) 426-8019

2055 W Frye Rd
Ste 2
Chandler, AZ 85224
Phone (480) 821-9840

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

4344 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 548-0228

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212
Phone (480) 326-3922

5151 E Broadway Rd
Ste 102
Mesa, AZ 85206
Phone (480) 396-9922

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

9401 W Thunderbird Rd
Ste 190
Peoria, AZ 85381
Phone (623) 977-5451

25101 N Lake Pleasant Pkwy
Ste B1340
Peoria, AZ 85383
Phone (602) 610-6866

4045 E Bell Rd
Ste 150
Phoenix, AZ 85032
Phone (602) 992-8352

14001 N 7th St
Ste A102
Phoenix, AZ 85022
Phone (602) 548-5445

2400 W Dunlap Ave
Ste 145
Phoenix, AZ 85021
Phone (602) 870-1414

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1992284111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 N 8TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142157",
            "telephone_number": "360-980-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 W BELL RD STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083589",
            "telephone_number": "602-548-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "EMILIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "30160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.