Jamie Rae Courbanou, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27879 Issued in FL

Practice address

1011 North State Road
Suite a
Royal Palm Beach, FL 33411

Phone

(561) 784-3767

NPI assigned

Oct 30, 2013

Sex

Female

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Florida Spine Associates LLC

  • Orthopaedic Surgery of the Spine Physician
  • Boca Raton, FL
  • NPI 1225675804
  Medicare reassignment NPD
• Orthopedic Center of Palm Beach County, LLC

  dba Sports and Orthopedic Center

  • Specialist
  • Atlantis, FL
  • NPI 1114079738
  Medicare reassignment NPD
• Orthopedic Center of Palm Beach County

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
  • NPI 1891683801
  NPD
• Orthopedic Center of Palm Beach County, LLC

  • Orthopaedic Surgery Physician
  • Atlantis, FL
  • NPI 1164963252
  NPD (past)

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1659709681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 AZURE AVE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 NORTH STATE ROAD",
            "address_2": "SUITE A",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-784-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURBANOU",
        "first_name": "JAMIE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariadna Maria Cossio-Wong, BCBA,MA
• Yaima Costales Perez, APRN
• Costco Wholesale Corporation (Costco Optical #623)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #623)
• Coventry Country Living Inc.
• Lisa Cover, LCSW
• Tammy Ann Crisafulle Howell, OTR/L, CHT
• Alyssa Croll, M.S., CCC-SLP
• Crown of Glory Counseling Corp. (Crown of Glory Counseling)

• Physical Therapist in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.