Individual provider Active NPI

James F Courbanou, DPT

  • Physical Therapist
  • Wellington, FL
National Provider Identifier
1558601039
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27884 Issued in FL
Practice address
1497 S Club Dr
Wellington, FL 33414-1078
Phone
(561) 324-2954
NPI assigned
Feb 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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 27884 FL Primary

Addresses

Primary practice location

1497 S Club Dr
Wellington, FL 33414-1078

Mailing address

1497 S Club Dr
Wellington, FL 33414-1078
Phone (561) 324-2954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27884FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Organizations & group practices 1

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": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1558601039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 S CLUB DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334141078",
            "telephone_number": "561-324-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 S CLUB DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334141078",
            "telephone_number": "561-324-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURBANOU",
        "first_name": "JAMES",
        "middle_name": "F",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "27884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.