Provider Demographics
NPI:1124904883
Name:COATS, CASEY
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:COATS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 PIEDMONT RD NE APT 7050
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-4386
Mailing Address - Country:US
Mailing Address - Phone:770-362-9631
Mailing Address - Fax:
Practice Address - Street 1:3314 PIEDMONT RD NE APT 7050
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-4386
Practice Address - Country:US
Practice Address - Phone:770-362-9631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT013549225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist