Jordan Coulon

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

2606 Loma Dr
Midland, TX 79705-6614

Phone

(432) 262-1001

NPI assigned

Sep 1, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cultivate Wellness & Sports Rehab

  • Sports Physical Therapist
  • Midland, TX
  • NPI 1508455049
  NPD Authorized official
• Jordan Coulon PT DPT PLLC

  dba Cultivate Physical Therapy & Motion Lab

  • Physical Therapy Clinic/Center
  • Midland, TX
  • NPI 1598241341
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1225405749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DODSON ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 LOMA DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056614",
            "telephone_number": "432-262-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULON",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "TX",
            "license": "1262879",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "432-262-0884",
            "affiliation": "N",
            "address_1": "2606 Loma Dr",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797056614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Hearing Aid #1756)
• Costco Wholesale Corporation (Costco Optical #1756)
• Coulon Dental Care
• Coulon Dental Care (Coulon Dental)
• Jonathan Coulon, D.D.S.
• Stephanie Coulon, LPC ASSOCIATE
• Steve Ryan Coulon, DDS
• Michael Clay Courter, D.D.S.
• Courtyard Primary Care & Medical Spa,PA
• Jessica Viridiana Covarrubias, DDS

• Orthopedic Physical Therapist in Midland, TX
• Providers in Midland, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.