Active NPI
Michael Dennis Coulter, P.T.
- Physical Therapist
- Perrysburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6191
- Practice address
- 27064 Oakmead Drive
Perrysburg, OH 43551-2657 - Phone
- (419) 874-6957
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6191 | OH | Primary |
Addresses
Primary practice location
27064 Oakmead Drive
Perrysburg, OH 43551-2657
Mailing address
7767 Westcroft Drive
Sylvania, OH 43560-1863
Phone (419) 517-4255
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000272642 | Other | OH | ANTHEM |
| 2308185 | Medicaid | OH | |
| 341952632-00 | Other | OH | WORKERS COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Toledo College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1038 N Monroe St
Monroe, MI 48162-3113
Phone (419) 559-5591
3203 N Adrian Hwy
Adrian, MI 49221-1113
Phone (419) 559-5591
3333 Sterns Rd
Lambertville, MI 48144-9738
Phone (419) 559-5591
3337 W Sterns Rd
Lambertville, MI 48144-9738
Phone (419) 559-5591
4210 W Sylvania Ave
Suite 102
Toledo, OH 43623-4501
Phone (419) 350-3347
4349 Talmadge Rd
Toledo, OH 43623-3527
902 Industrial Dr
Tecumseh, MI 49286-9701
Phone (419) 559-5591
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6191 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Pain Services, PLL | Current | Accepting new patients | |
| Brent L. Rubin & Associates Inc | Current | Accepting new patients | |
| PT Link LLC | Physical Therapist | Current | Accepting new patients |
| Toledo Pain Services, PLL | Current | Accepting new patients | |
| Sandusky Wellness Center Inc | Current | Accepting new patients | |
| Hallett Enterprises, LLC | Physical Therapist | Past | Accepting new patients |
| Brent L. Rubin & Associates Inc | Past | Accepting new patients | |
| Physical Therapy Consultants of Perrysburg, LLC | Past | Accepting new patients | |
| Sandusky Wellness DME LLC | Past | Accepting new patients |
Locations
3333 Sterns Rd
Lambertville, MI 48144
Phone (734) 568-6917
902 Industrial Dr
Tecumseh, MI 49286
Phone (517) 423-7722
11301 Upper Gilchrist Rd
Ste A
Mount Vernon, OH 43050
Phone (740) 392-1407
846 S Coy Rd
Ste 100
Oregon, OH 43616
1090 W South Boundary St
Ste 600
Perrysburg, OH 43551
Phone (419) 873-8280
3703 Columbus Ave
Sandusky, OH 44870
Phone (419) 625-8085
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
6469 Monroe St
Sylvania, OH 43560
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
4349 Talmadge Rd
Toledo, OH 43623
Phone (419) 654-8818
3055 W Sylvania Ave
Toledo, OH 43613
Phone (419) 471-1172
5151 Monroe St
Ste 104
Toledo, OH 43623
3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500
7055 W Central Ave
Toledo, OH 43617
4210 W Sylvania Ave
Ste 102
Toledo, OH 43623
Phone (419) 350-3347
Interoperability endpoints
- https://api.platform.athenahealth.com/9045/brand/1/csg/1/fhir/r4
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Toledo, OH
- NPI 1922031400
-
- Chiropractor
- Sandusky, OH
- NPI 1356486187
-
- Interventional Pain Medicine Physician
- Toledo, OH
- NPI 1356339857
-
- Chiropractor
- Mount Vernon, OH
- NPI 1265629356
-
- Certified Registered Nurse Anesthetist
- Oregon, OH
- NPI 1427703024
-
- Podiatrist
- Perrysburg, OH
- NPI 1285289439
-
- Physical Therapist
- Oregon, OH
- NPI 1861743924
-
- Physical Therapy Clinic/Center
- Perrysburg, OH
- NPI 1134202138
-
- Durable Medical Equipment & Medical Supplies
- Sandusky, OH
- NPI 1134534225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104047844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7767 WESTCROFT DRIVE",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435601863",
"telephone_number": "419-517-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27064 OAKMEAD DRIVE",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435512657",
"telephone_number": "419-874-6957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "MICHAEL",
"middle_name": "DENNIS",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT6191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000272642",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2308185",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "341952632-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.