Robert Kermit Coursen

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE005577L Issued in PA

Practice address

440 N River St
Wilkes Barre, PA 18702-2631

Phone

(570) 825-5611

NPI assigned

Jul 21, 2016

Last updated

Jul 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1629421953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022631",
            "telephone_number": "570-825-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022631",
            "telephone_number": "570-825-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSEN",
        "first_name": "ROBERT",
        "middle_name": "KERMIT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE005577L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne M Coslett-Charlton, M.D.
• Carol Ann Coslett
• Maria Elizabeth Coslett, RPH
• Jonida Kosova Cote, D.O
• Kevin Christopher Coughlin, PHARMD
• Paul Anthony Covello, MD, DDS
• Jo Anna Marie Cox
• Steven Joseph Craig, PH.D.
• Creating Unlimited Possibilities
• Kevin Paul Creegan, PH D

• Physical Therapy Assistant in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.