Cultivate Wellness & Sports Rehab

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

CULTIVATE WELLNESS & SPORTS REHAB

Doing business as

Cultivate Wellness & Sports Rehab

Practice address

2606 Loma Dr
Midland, TX 79705-6614

Phone

(432) 262-1001

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan CoulonNPI 1225405749

Title

Owner

Phone

(432) 262-1001

Specialties & licenses 1

Addresses

Other names 1

• Cultivate Wellness & Sports Rehab Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Coulon

  • Orthopedic Physical Therapist
  • Midland, TX
  • NPI 1225405749
  NPD Authorized official

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1508455049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 LOMA DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056614",
            "telephone_number": "432-262-1001"
        },
        {
            "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": {
        "organization_name": "CULTIVATE WELLNESS & SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "COULON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-262-1001"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivate Wellness & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Lynn Crutchfield, LVN
• CSS, PB (Caring Senior Service of Midland)
• Alec Gerard Cuello, PA
• Richard B Culbert, MD
• Diana Culp Martin, N.P.
• Lee Conner Culver, LPC, LCDC
• Erica Howard Currie
• Leslie Ann Curtis
• CVS Pharmacy Inc (CVS Pharmacy #10643)
• CVS Pharmacy Inc (CVS Pharmacy #04356)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.