Active NPIIndividual provider

Mr. Shawn I Cole, PTA

Physical Therapy Assistant in Newark, New Jersey

NPI Number1174754956
Practice location
5 Pomona Ave, Apt 2H, Newark, NJ 07112-2300
Fax
—
Last updated
July 28, 2009

Shawn Ishmael Cole is a Physical Therapy Assistant based in Newark, NJ. Shawn Ishmael Cole practices in Newark, NJ and has the professional credentials of PTA. The NPI Number for Shawn Ishmael Cole is 1174754956 and holds a License No. 40qb00265900 (NJ). The current practice location address for Shawn Ishmael Cole is 5 Pomona Ave, Apt 2H, Newark, NJ 07112-2300 and can be reached out via phone at 973-392-2320.

Provider Profile Details

NPI Number
1174754956
Provider Name
Shawn Ishmael Cole
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
5 Pomona Ave, Apt 2H, Newark, NJ 07112-2300
Phone Number
973-392-2320
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2009
Last Update Date
July 28, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Pomona Ave
Apt 2H
Newark, NJ 07112-2300
City
Newark
Zip
07112-2300
Phone Number
973-392-2320
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
5 Pomona Ave
Apt 2H
Newark, NJ 07112-2300
City
Newark
State
NJ
Zip
07112-2300
Phone Number
973-392-2320

License Information

License Number
40qb00265900
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapy Assistants near Newark, NJ

View all Physical Therapy Assistants in Newark →

Frequently Asked Questions

What is the NPI number of Mr. Shawn I Cole, PTA?

The NPI number of Mr. Shawn I Cole, PTA is 1174754956. It was assigned on July 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Shawn I Cole, PTA?

Mr. Shawn I Cole, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40qb00265900.

Where does Mr. Shawn I Cole, PTA practice?

The practice location is 5 Pomona Ave, Apt 2H, Newark, NJ 07112-2300. The office can be reached at 973-392-2320 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174754956 directly on the NPPES registry website.

Browse related providers