Active NPI
James T Corum Jr., PHYSICAL THERAPIST
- Physical Therapist
- Middlesboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005704
- Practice address
- 1847 N 25TH St
Middlesboro, KY 40965-1853 - Phone
- (606) 248-1996
- Fax
- (606) 248-1901
- NPI assigned
- Apr 11, 2011
- 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 | 005704 | KY | Primary |
Addresses
Primary practice location
1847 N 25TH St
Middlesboro, KY 40965-1853
Mailing address
PO Box 824
Middlesboro, KY 40965-0824
Phone (606) 248-1996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 Cumberland Ave
Middlesboro, KY 40965-1223
Phone (606) 302-5474
430 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 441-8848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9806 | TN | MD | Pharmacist |
| 005704 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevation Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Champion Physical Therapy Kentucky LLC | Current | Accepting new patients | |
| Champion Physical Therapy Kentucky, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1475 US Highway 25 E
Ste 6
Middlesboro, KY 40965
Phone (606) 248-1996
1510 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 302-5474
1110 Shawnee Rd
Lima, OH 45805
Phone (419) 221-6720
430 S Broad St
New Tazewell, TN 37825
Phone (423) 441-8848
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Elevation Physical and Occupational Therapy
- Physical Therapist
- Middlesboro, KY
- NPI 1932714888
TN
-
dba CORA Physical Therapy - Middlesboro
- Rehabilitation Clinic/Center
- Middlesboro, KY
- NPI 1720589724
Physical Therapist
-
dba CORA Physical Therapy - Corbin
- Rehabilitation Clinic/Center
- Corbin, KY
- NPI 1568001493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1790075745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 824",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409650824",
"telephone_number": "606-248-1996",
"fax_number": "606-248-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 N 25TH ST",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409651853",
"telephone_number": "606-248-1996",
"fax_number": "606-248-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORUM",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlesboro, KY
- Comprehensive Home Health Care Services, Inc. (Bell County Adult Day Care)
- Comprehensive Home Healthcare Services LLC (Amedisys Home Health Care)
- Comprehensive Hospitalist Services of Kentucky LLC
- Cornerstone Christian Counseling
- Cornerstone Diagnostics Inc (Premiertox Laboratory)
- Susan May Cox
- Jamie Thompson Craig
- Shawnee Mirria Cress
- Charles A Crumley, MD
- Cumberland Valley Dist. Health Dept.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.