Demetrious Abdul Coleman Jr., PTA
NPI 1265975684ActiveIndividual· Physical Therapy Assistant· Newark, NJ
Physical Therapy Assistant (PTA) in Newark, New Jersey, licensed in NJ, NY and TN, with an NPI issued in December 2016.
Overview
| NPI | 1265975684 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | Yes |
| NPI issued | Dec 2, 2016 |
| Last updated in NPPES | Nov 14, 2025 |
| Certified by provider | Nov 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 40QB00424900 | NJ |
| Physical Therapy Assistant | 225200000X | 012511 | NY |
| Physical Therapy Assistant | 225200000X | PTA0000006080 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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