Coastal Orthopedic Associates Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COASTAL ORTHOPEDIC ASSOCIATES INC

Practice address

152 Conant St Ste 301
Beverly, MA 01915-1659

Phone

(978) 927-3040

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Kristen McCollum

Title

Coo

Phone

(978) 927-3040

Specialties & licenses 2

Addresses

Tax ID family

Coastal Orthopedic Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Orthopedic Associates Inc

  • Orthopaedic Surgery Physician
  • Danvers, MA
  • NPI 1003507013
  NPD tax ID

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1003591280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CONANT ST STE 301",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151659",
            "telephone_number": "978-927-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CONANT ST STE 301",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151659",
            "telephone_number": "978-927-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHOPEDIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "978-927-3040"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Solutions, Inc.
• Ann Marie Clinton, LMHC
• Kyla Kristy Cloak
• Coastal Clarity Audiology LLC
• Coastal Counseling Inc
• Coastal Orthopedic Associates Inc
• Emily Sharon Cohen
• Jason Evan Cohen, MD
• Saul L Cohen, M.D.
• Hannah Colbert

• Physical Therapist in Beverly, MA
• Providers in Beverly, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.