MEDICARE: MRS. REBECCA M COATES ABC -CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225000000X	Orthotic Fitter	CFOM0085	NC
2	222Z00000X	Orthotist	CO03395	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730298357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA M COATES ABC -CO

Provider Business Mailing Address
First Line	:	2840 OVERHILLS RD
Second Line	:
City	:	BUNNLEVEL
State	:	NC
Zip	:	28323-8702
Country	:	US
Telephone Number	:	910-494-6581
Fax Number	:	910-483-2327

Provider Business Practice Location Address
First Line	:	4140 FERNCREEK DR STE 803
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-2572
Country	:	US
Telephone Number	:	910-323-9016
Fax Number	:	910-486-8712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	05/11/2022

Similar Medicare Providers

1821764416 — KAITLIN BOGUE DPT
Practice Location Address:

4140 FERNCREEK DR STE 801
FAYETTEVILLE, NC
28314-2572

Practice Phone: 910-710-5051
Practice Fax: 910-223-6233

1245204494 — CAPE FEAR ORTHOPAEDIC CLINIC, PA
Practice Location Address:

4140 FERNCREEK DR , SUITE 801
FAYETTEVILLE, NC
28314-2572

Practice Phone: 910-484-2171
Practice Fax: 910-484-4568

1649354317 — DR. CASEY CATHLEEN KRAMPER BENANDER DPT
Practice Location Address:

4140 FERNCREEK DR STE 801
FAYETTEVILLE, NC
28314-2572

Practice Phone: 910-710-5051
Practice Fax: 910-223-6233

1982809240 — JASON C ECK D.O.
Practice Location Address:

4140 FERNCREEK DR STE 801
FAYETTEVILLE, NC
28314-2572

Practice Phone: 910-484-2171
Practice Fax: 910-484-4568

1033346176 — JUDIT ANDREA COPE M.D.
Practice Location Address:

4140 FERNCREEK DR STE 801
FAYETTEVILLE, NC
28314-2572

Practice Phone: 910-484-2171
Practice Fax: 910-484-4568

1689992851 — ADVANCED BRACE & LIMB
Practice Location Address:

4140 FERNCREEK DR , SUITE 803
FAYETTEVILLE, NC
28314-2572

Practice Phone: 919-818-0359
Practice Fax: 800-967-4245

Directions to “ MRS. REBECCA M COATES ABC -CO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.