Nichole Shiree Coomer, PT, DPT
NPI 1285751149ActiveIndividual· Physical Therapist· Marion, IN
Physical Therapist (PT, DPT) with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, practicing in Marion, Indiana. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1285751149 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Mar 24, 2007 |
| Last updated in NPPES | Sep 8, 2020 |
| Certified by provider | Sep 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 05008703A | IN |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (IN) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAJoliet, IL · 376 clinicians
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All 37 physical therapists in Marion · All physical therapists in Indiana