Organization Active NPI

Doctors Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Newburgh, IN
National Provider Identifier
1881243442
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DOCTORS PHYSICAL THERAPY LLC
Practice address
4166 Wyntree Dr Ste B
Newburgh, IN 47630-2521
Phone
(502) 526-2201
NPI assigned
Sep 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Dr. Sheldon Charles McCullum, DPT
Title
Director
Phone
(502) 526-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4166 Wyntree Dr Ste B
Newburgh, IN 47630-2521

Mailing address

4166 Wyntree Dr Ste B
Newburgh, IN 47630-2521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1881243442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 WYNTREE DR STE B",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 WYNTREE DR STE B",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302521",
            "telephone_number": "502-526-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "MCCULLUM",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "502-526-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.