Individual provider Active NPI

Virginia Manning Coulter, PT

  • Physical Therapist
  • Sumter, SC
National Provider Identifier
1437109592
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3708 Issued in SC
Practice address
540 Bultman Dr Ste 3
Sumter, SC 29150-2592
Phone
(803) 883-6876
Fax
(803) 335-5394
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3708 SC Primary

Addresses

Primary practice location

540 Bultman Dr Ste 3
Sumter, SC 29150-2592

Mailing address

1165 Broad Street ; PMB 352
Sumter, SC 29150
Phone (803) 469-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000093 SC Practitioner - Physical Therapist in Private Practice 9638338031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy LLCGroup PAC ID 6709231061, 2 clinicians

Practice addresses (Care Compare)

540 Bultman Dr
Suite 3
Sumter, SC 29150-2592
Phone (803) 883-6876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3708SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
McLeod Health Clarendon PastSince Sep 10, 2003 Accepting new patients

Locations

1165 Broad St
Sumter, SC 29150
Phone (803) 305-5956

540 Bultman Dr
Ste 3
Sumter, SC 29150
Phone (803) 883-6876

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1437109592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 BROAD STREET ; PMB 352",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-469-3213",
            "fax_number": "803-469-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BULTMAN DR STE 3",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502592",
            "telephone_number": "803-883-6876",
            "fax_number": "803-335-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "VIRGINIA",
        "middle_name": "MANNING",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.

Verify at the official NPI Registry.