Sheldon Charles McCullum, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05008586A Issued in IN

Practice address

818 Kent Ave
West Lafayette, IN 47906-1549

Phone

(502) 526-2201

NPI assigned

Apr 13, 2007

Last updated

Sep 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doctors Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Newburgh, IN
  • NPI 1881243442
  Authorized official Same address or phone

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1336364785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 KENT AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061549",
            "telephone_number": "502-526-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 KENT AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061549",
            "telephone_number": "502-526-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLUM",
        "first_name": "SHELDON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008586A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200811390A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey McBride
• Coreen McCoy
• Grace McCoy
• Rachel McCoy
• Joel B McCuaig, MD
• Emily McGirt
• Julia Ann McGlone
• Tomessa McGraw
• Amber McKee
• Amanda Lyn McKinney, PSY.D., HSPP

• Physical Therapist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.