JAIMIE LEE COULOMBE PT, DPT
NPI 1316285190
Physical Therapist - Pediatrics in Grand Rapids, MI
- Individual
- Female
- Physical Therapist
- Pediatrics
About JAIMIE COULOMBE
This page provides the complete NPI Profile along with additional information for Jaimie Coulombe, a provider established in Grand Rapids, Michigan with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1316285190 assigned on January 2013. The practitioner's primary taxonomy code is 2251P0200X with license number PT 39626 (CA). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1316285190 Verify this NPI
- Provider Name
- JAIMIE LEE COULOMBE PT, DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 35 MICHIGAN ST NE # 4128 GRAND RAPIDS, MI 49503
- Location Phone
- (616) 267-2727
- Mailing Address
- 3052 CREEK WAY CT SE KENTWOOD, MI 49512
- Mailing Phone
- (760) 985-0417
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-29-2013
- Last Update Date
- 03-17-2018
- Code Navigator
Location Map
Secondary Locations
- 11105 Knott Ave Suite A
Cypress, CA 90630
(714) 893-7399
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT 39626
- License State
- CA
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | PT39626 (CA) |
| 2 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 5501018246 (MI) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316285190, enumerated as an "individual" on January 29, 2013.
The provider is located at 35 MICHIGAN ST NE # 4128 GRAND RAPIDS, MI 49503 and the phone number is (616) 267-2727.
Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.
