CARLY JO COULTHART PT
NPI 1386532703
Physical Therapist in Green Bay, WI

Active since June 25, 2025
1110 KEPLER DR, GREEN BAY, WI 54311(920) 932-6050 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Jun 25, 2025 (2 updates tracked since 2025).

About Carly Jo Coulthart Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY JO COULTHART PT (NPI 1386532703) is an individual physical therapist in Green Bay, Wisconsin, licensed in Wisconsin (17244-24) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1386532703
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCARLY JO COULTHARTCredential: PT
Location Address1110 KEPLER DRGreen Bay, WI 54311-8306
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Enumeration DateJune 25, 2025
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1386532703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WI · 17244-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1110 KEPLER DR, Green Bay, WI 54311

Other Identifiers 1

Medicaid100333301WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Medicine & Rehabilitation (Sports Medicine)
1110 KEPLER DR
GREEN BAY, WI 54311
Orthopaedic Surgery
1110 KEPLER DR
GREEN BAY, WI 54311
Nurse Practitioner
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Medicine & Rehabilitation
1110 KEPLER DR
GREEN BAY, WI 54311
Physical Therapy Assistant
1110 KEPLER DR
GREEN BAY, WI 54311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Coulthart's NPI number?

The NPI number for Carly Coulthart is 1386532703. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Where is Carly Coulthart located?

Carly Coulthart practices at 1110 Kepler Dr, Green Bay, WI 54311. The listed phone number is (920) 932-6050.

What is Carly Coulthart's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Carly Coulthart was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.