KELLY R COATY (NPI# 1871843094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871843094 |
| Entity Type | Individual |
| Full Name | KELLY R COATY |
| Credential | ATC |
| Practice Address |
100 Village Grn Suite 120 B Lincolnshire IL 60069-3094 |
| Practice Telephone | 8476342317 |
| Practice Fax Number | 8476342376 |
| Mailing Telephone | 8476342317 |
| Mailing Fax Number | 8476342376 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.002835 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 VILLAGE GRN SUITE 120 B |
| City | LINCOLNSHIRE |
| State | IL |
| Zip Code | 60069-3094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255329801 | Mark Alan Neault | Orthopaedic Surgery | 100 Village Grn, Suite 120, Lincolnshire, IL 60069-3094 | 2005-10-07 |
| 1811439086 | Rachel Eileen Lattner | Nurse Practitioner | 100 Village Grn, Lincolnshire, IL 60069-3094 | 2016-11-04 |
| 1811331630 | Biji Sarah Samuel | Physical Therapist | 100 Village Grn, Suite 120, Lincolnshire, IL 60069-3094 | 2013-04-23 |
| 1760741193 | Donna Christine Sadeghloo | Physical Therapist | 100 Village Grn, Suite # 120-b, Lincolnshire, IL 60069-3094 | 2012-05-04 |
| 1649539115 | Jason Michael Thavenet | Occupational Therapist | 100 Village Grn, Suite 120b, Lincolnshire, IL 60069-3094 | 2012-05-03 |
| 1548456833 | Olson Psycare PC | Psychiatry & Neurology | 100 Village Grn, Ste 220, Lincolnshire, IL 60069-3094 | 2007-09-20 |
| 1356405179 | David M. Riniker | Occupational Therapist | 100 Village Grn, Suite 120b, Lincolnshire, IL 60069-3094 | 2006-12-19 |
| 1174686133 | Complete Orthopaedic Care, LLC. | Specialist | 100 Village Grn, Ste 120, Lincolnshire, IL 60069-3094 | 2006-12-19 |
| 1265411326 | Marcus Gregory Talerico | Orthopaedic Surgery | 100 Village Grn, #120, Lincolnshire, IL 60069-3094 | 2006-01-17 |
| 1538140355 | Marvin Primack | Orthopaedic Surgery | 100 Village Grn, Suite 120, Lincolnshire, IL 60069-3094 | 2005-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283382 | Annmarie Perelle | Physical Therapist | 100 Village Green Drive, Suite 2010, Lincolnshire, IL 60069 | 2020-10-23 |
| 1790123164 | Ann Cameron Cameron Schieber | Dermatology | 275 Parkway Drive, Suite 521, Lincolnshire, IL 60069 | 2013-06-07 |
| 1952676405 | Senior Care Physicians of Illinois, S.c. | Internal Medicine | 80 Audubon Way, Lincolnshire, IL 60069 | 2012-03-16 |
| 1134432537 | Daniel Sorkin, Psy.d., LLC | Psychologist | 430 North Milwaukee Avenue, Suite 15, Lincolnshire, IL 60069 | 2010-07-14 |
| 1538309836 | Lowela Kho Palomares | Physical Therapist | 800 Audobon Way, Lincolnshire, IL 60069 | 2009-02-26 |
| 1962657890 | Lincolnshire Senior Care LLC | Skilled Nursing Facility | 960 Audubon Way, Rose Court, Lincolnshire, IL 60069 | 2008-11-19 |
| 1184885964 | Kristina Marie Ward | Pediatrics | 185 N. Milwaukee Ave, Suite 220, Lincolnshire, IL 60069 | 2008-06-24 |
| 1922159508 | Dolores Imroth Braun | Counselor | 24 Wimbledon Ct, Lincolnshire, IL 60069 | 2007-01-12 |
| 1588738439 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 300 Village Grn Ste 205, Lincolnshire, IL 60069 | 2006-11-20 |
| 1164439030 | Leanne Reed | Physical Therapist | 2525 Waukegan Rd #255, Bannockburn, IL 60069 | 2006-08-02 |
| Find all providers in zip 60069 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740566900 | Amanda Devine | Specialist/Technologist | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2011-11-01 |
| 1457408502 | Jill Rachel Smiley | Specialist/Technologist | 1 Stevenson Dr, Lincolnshire, IL 60069-2824 | 2007-01-04 |
| 1225144892 | Thomas J. J. Loew | Specialist/Technologist | 1 Stevenson Dr, Lincolnshire, IL 60069-2824 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLNSHIRE |
| Zip Code | 60069 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.