Physician Compare National (NPI:1790811735)

HEALTHCARE PROVIDER: ERIN N COOMER DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1790811735
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800051152
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120711000540
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COOMER
	Individual professional last name
Provider First Name	ERIN
	Individual professional first name
Provider Middle Name	NOEL
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	106 LAKESIDE AVE
	Group Practice or individual's line 1 address
City	SEATTLE
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	981226542
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y