MR. JARED COLE WILBURN (NPI# 1760704431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760704431 |
| Entity Type | Individual |
| Full Name | MR. JARED COLE WILBURN |
| Credential | MPT |
| Practice Address |
525 Alexandria Pike Suite 200 Southgate KY 41071-3290 |
| Mailing Address |
560 S Loop Rd Edgewood KY 41017-3405 |
| Practice Telephone | 8594417913 |
| Practice Fax Number | 8594414944 |
| Mailing Telephone | 8593012663 |
| Mailing Fax Number | 8593010655 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2015-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 005941 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 05009495A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100220980 | 05 |
| Street Address |
525 ALEXANDRIA PIKE SUITE 200 |
| City | SOUTHGATE |
| State | KY |
| Zip Code | 41071-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047903 | Stephen F Mielech | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2005-07-18 |
| 1659779064 | Specialty Medical Drugstore | Pharmacy | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2014-12-17 |
| 1053715516 | Joan O Bovard | Nurse Practitioner | 525 Alexandria Pike, Suite 300, Southgate, KY 41071 | 2014-10-13 |
| 1548677636 | Summit Medical Group, Inc | Podiatrist | 525 Alexandria Pike, Ste 230, Southgate, KY 41071-3290 | 2014-07-21 |
| 1992938567 | Kristopher Daniel Kaufman | Physical Therapist | 525 Alexandria Pike, Southgate, KY 41071 | 2009-08-31 |
| 1942451828 | Orthocincy | Durable Medical Equipment & Medical Supplies | 525 Alexandria Pike, Suite 200, Southgate, KY 41071 | 2008-10-09 |
| 1093978686 | Jamie Lynn Schulz | Internal Medicine | 525 Alexandria Pike, Ste 300, Southgate, KY 41071-3290 | 2008-07-03 |
| 1609075720 | Darren P Di Iulio | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2007-07-18 |
| 1982809828 | Brian John Crowley | Nurse Practitioner | 525 Alexandria Pike, Southgate, KY 41071-3290 | 2007-06-20 |
| 1033240023 | Drs Cullen & Kreilein, Psc, Inc. | Plastic Surgery | 525 Alexandria Pike, Suite 220, Southgate, KY 41071-3290 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598240 | Drew Austin Rappaport | Dentist | 70 Carothers Rd, Newport, KY 41071 | 2017-06-14 |
| 1811443435 | Marcus E. Mckinney | Pharmacist | 100 Aqua Way, Newport, KY 41071 | 2016-09-01 |
| 1730306754 | Benjamin Michael Anderson | Psychologist | 1400 Grand Avenue, Newport, KY 41071 | 2007-04-19 |
| 1437288065 | Douglas K Braun | Dentist | 40 E 9th St, Newport, KY 41071 | 2007-03-02 |
| 1952445017 | Therapeutic Collabortive | Social Worker | 525 Licking Pike, Wilder, KY 41071 | 2007-02-20 |
| 1215078407 | Holly Ann Eary | Counselor | 519 Licking Pk, Wilder, KY 41071 | 2007-02-09 |
| 1790839819 | James John Otrembiak | Pediatrics | 525 Alexandria Pike Ste 320, Southgate, KY 41071 | 2007-01-23 |
| 1033737085 | Ashley Ryan | Nurse Practitioner | 215 E. 11th St., Newport, KY 41071 | 2020-07-07 |
| 1548733066 | Summt Medical Group, Inc | Clinic/Center | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| 1164995544 | Summit Medical Group, Inc | Urology | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| Find all providers in zip 41071 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457858896 | Mohammed Abdul Kathar | Physical Therapist | 16889 Vail Dr, Southgate, MI 48195-2197 | 2018-04-11 |
| 1962905083 | Sheylan Kalso | Physical Therapist | 15400 Northline Rd Ste 102, Southgate, MI 48195-2689 | 2018-03-15 |
| 1487154902 | Mark Kandes | Physical Therapist | 16777 Northline Rd, Southgate, MI 48195-2789 | 2018-02-21 |
| 1629578182 | Man Wai Alice Wong | Physical Therapist | 15777 Northline Rd Ste 102, Southgate, MI 48195-2300 | 2018-02-20 |
| 1124483201 | Joecamar Natuel | Physical Therapist | 16125 Dix Toledo Rd, Southgate, MI 48195-2948 | 2015-12-16 |
| 1770880700 | Kathleen Helen Burke | Physical Therapist | 11320 Burlington St, Apt 359, Southgate, MI 48195-2896 | 2011-02-28 |
| 1992936579 | Theresa M Bedinghaus | Physical Therapist | 106 Fort Beech Dr, Southgate, KY 41071-2855 | 2009-07-30 |
| 1710150636 | Subrata Mahanta | Physical Therapist | 15425 Garrison Ln, Apt 3, Southgate, MI 48195-2669 | 2008-04-11 |
| 1851456867 | Larry Clinton Eaton | Physical Therapist | 12855 Dix Toledo Rd, Southgate, MI 48195-1744 | 2006-12-27 |
| 1093887796 | Debra Joann Kaminski | Physical Therapist | 16701 Kennebec St, Southgate, MI 48195-3911 | 2006-11-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.