Active NPI
James Patrick Coughlan, PT
- Physical Therapist
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5428
- Practice address
- 9830 I-70 Frontage Road South
Wheat Ridge, CO 80033 - Phone
- (303) 467-4100
- Fax
- (303) 420-0836
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5428 | CO | Primary |
Addresses
Primary practice location
9830 I-70 Frontage Road South
Wheat Ridge, CO 80033
Mailing address
9830 I-70 Frontage Road South
Wheat Ridge, CO 80033
Phone (303) 467-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69931232 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070103000089 | CO | Practitioner - Physical Therapist in Private Practice | 3577563261 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Intermountain Medical Group Denver LLC
Practice addresses (Care Compare)
Broomfield, CO 80021
Phone (720) 807-4461
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
8550 W 38TH Ave
100 Wheat Ridge Clinic Occupational Medicin
Wheat Ridge, CO 80033-1724
Phone (303) 467-4100
8550 W 38TH Ave
100 Wheat Ridge Clinic Physical Therapy
Wheat Ridge, CO 80033-4341
Phone (303) 467-4121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5428 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750
8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100
3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000
Organizations & group practices 8
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.
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- NPI 1083598874
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-
- General Practice Physician
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- NPI 1669192134
-
- Radiation Oncology Physician
- Golden, CO
- NPI 1437737665
-
- General Acute Care Hospital
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- NPI 1619706249
-
- Hospitalist Physician
- Denver, CO
- NPI 1467081877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1699701458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9830 I-70 FRONTAGE ROAD SOUTH",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "80033",
"telephone_number": "303-467-4100",
"fax_number": "303-420-0836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9830 I-70 FRONTAGE ROAD SOUTH",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "80033",
"telephone_number": "303-467-4100",
"fax_number": "303-420-0836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHLAN",
"first_name": "JAMES",
"middle_name": "PATRICK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "5428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "69931232",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.