ANDRE A COLEMAN OTR/L
NPI 1174892731
Occupational Therapist in Mount Vernon, IL
About Andre A Coleman Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRE A COLEMAN OTR/L (NPI 1174892731) is an individual occupational therapist in Mount Vernon, Illinois, licensed in Illinois (056009596) and active in the NPI registry since December 2011.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andre A Coleman Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andre Coleman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andre Coleman's NPI number?
The NPI number for Andre Coleman is 1174892731. It was assigned to this individual provider in the NPPES registry on December 27, 2011.
Where is Andre Coleman located?
Andre Coleman practices at 4110 S Water Tower Place, Mount Vernon, IL 62864. The listed phone number is (618) 242-1100.
What is Andre Coleman's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Andre Coleman enrolled in Medicare?
Yes. Andre Coleman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andre Coleman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andre Coleman reassigns Medicare benefits to Select Physical Therapy Holdings, Inc. (Mount Vernon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andre Coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andre Coleman was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.