Active NPI
Virginia Manning Coulter, PT
- Physical Therapist
- Sumter, SC
National Provider Identifier
1437109592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3708
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3708 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| McLeod Health Clarendon | Past | 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.
-
- Physical Therapist
- Sumter, SC
- NPI 1790480606
-
- Rural Health Clinic/Center
- Timmonsville, SC
- NPI 1003461773
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.