Cortland Physical Therapy & Sports Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CORTLAND PHYSICAL THERAPY & SPORTS REHABILITATION

Practice address

8 Kennedy Pkwy
Cortland, NY 13045-1410

Phone

(607) 753-1055

Fax

(607) 753-1099

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James M. Cullen, PHD, PTNPI 1346377504

Title

Partner/Physical Therapist

Phone

(607) 753-1055

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Michael Cullen, PHD, PT

  • Physical Therapist
  • Cortland, NY
  • NPI 1346377504
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629164629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KENNEDY PKWY",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451410",
            "telephone_number": "607-753-1055",
            "fax_number": "607-753-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KENNEDY PKWY",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451410",
            "telephone_number": "607-753-1055",
            "fax_number": "607-753-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND PHYSICAL THERAPY & SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "607-753-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "889502",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "000910649001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6600165",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6699643",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01240308",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "889503",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "000910648001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01240317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cortland Medical Care, PC
• Cortland Memorial Radiology, PC
• Cortland Operating Co LLC
• Cortland Ophthalmological Care, PLLC
• Cortland Pathology PC
• Cortland Podiatry Associates PC
• Cortland Surgical Associates,P.C.
• John Cottone, EDD
• Michelle Cottrell, NP
• Stefanie Nicole Courtney

• Physical Therapist in Cortland, NY
• Providers in Cortland, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.