Mr. Demetrious A Coleman Jr., PTA
Physical Therapy Assistant in Newark, New Jersey
1265975684- Practice location
- 225-227 Mcwhorter St., Newark, NJ 07105
- Phone
- 973-494-0858
- Fax
- 844-857-2827
- Last updated
- November 14, 2025
Demetrious Abdul Coleman is a Physical Therapy Assistant based in Newark, NJ. Demetrious Abdul Coleman practices in Newark, NJ and has the professional credentials of PTA. The NPI Number for Demetrious Abdul Coleman is 1265975684 and holds a License No. 012511 (NY). The current practice location address for Demetrious Abdul Coleman is 225-227 Mcwhorter St., Newark, NJ 07105 and can be reached out via phone at 973-494-0858 and via fax at 844-857-2827.
Provider Profile Details
- NPI Number
- 1265975684
- Provider Name
- Demetrious Abdul Coleman
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 225-227 Mcwhorter St., Newark, NJ 07105
- Phone Number
- 973-494-0858
- Fax Number
- 844-857-2827
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 2, 2016
- Last Update Date
- November 14, 2025
- Certification Date
- November 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 225-227 Mcwhorter St.
Newark, NJ 07105 - City
- Newark
- State
- New Jersey
- Zip
- 07105
- Phone Number
- 973-494-0858
- Fax Number
- 844-857-2827
Provider Business Mailing Address Details
- Address
- 225-227 Mcwhorter St.
Newark, NJ 07105 - City
- Newark
- State
- NJ
- Zip
- 07105
- Phone Number
- 971-494-0858
- Fax Number
- 844-857-2827
License Information
- License Number (1)
- 012511
- License State (1)
- NY
- Taxonomy (1)
- Physical Therapy Assistant · 225200000X
- License Number (2)
- PTA0000006080
- License State (2)
- TN
- Taxonomy (2)
- Physical Therapy Assistant · 225200000X
- License Number (3)
- 40QB00424900
- License State (3)
- NJ
- Taxonomy (3)
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Demetrious A Coleman Jr., PTA?
The NPI number of Mr. Demetrious A Coleman Jr., PTA is 1265975684. It was assigned on December 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Mr. Demetrious A Coleman Jr., PTA?
Mr. Demetrious A Coleman Jr., PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 012511.
Where does Mr. Demetrious A Coleman Jr., PTA practice?
The practice location is 225-227 Mcwhorter St., Newark, NJ 07105. The office can be reached at 973-494-0858 (phone) or 844-857-2827 (fax).
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 1265975684 directly on the NPPES registry website.