James Wesley Coulter, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070-002845 Issued in IL

Practice address

1513 Dekalb Ave
Sycamore, IL 60178-2703

Phone

(815) 758-0000

Fax

(815) 991-9484

NPI assigned

Mar 24, 2006

Last updated

Mar 17, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Forest City Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Rockford, IL
  • NPI 1669485280

  Physical Therapist

  NPD (past)
• Orthopedic Associates of Northern Illinois, LLC

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1740277102
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376503342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 ABERDEEN CT",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783175",
            "telephone_number": "815-758-0000",
            "fax_number": "815-748-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782703",
            "telephone_number": "815-758-0000",
            "fax_number": "815-991-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Rochelle",
            "state": "IL",
            "postal_code": "610681764",
            "country_code": "US",
            "telephone_number": "815-561-7100",
            "fax_number": "815-561-3134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920 N Mulford Rd",
            "address_2": "Suite 2200",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611148008",
            "country_code": "US",
            "telephone_number": "815-639-0764",
            "fax_number": "815-639-0946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COULTER",
        "first_name": "JAMES",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070002845",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070-002845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Conroy, LAT, ATC
• Consultants of Internal Medicine LTD
• Suzanne Cook, M.D.
• Kendra Schreck Coots, D.T.
• Jennifer Corzine, ALMFT
• Cpo Services, Inc. (Comprehensive Prosthetics and Orthotics)
• Jamieson T Credille, DPT
• Starline Rose Crouch, M.A. CCC-SLP
• Mackenzie Crowell
• John Ward Crown, DMD

• Orthopedic Physical Therapist in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.