Coastal Care Physical Therapy Inc

Organization Active NPI Rehabilitation Practitioner · Selbyville, DE

NPI 1023528841 · NPPES record last updated Sep 16, 2025

Key facts

NPI
1023528841
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Practitioner 225400000X
Legal business name
COASTAL CARE PHYSICAL THERAPY INC
Practice address
6 Ellis Alley
Unit 6
Selbyville, DE 19975
Phone
(302) 524-8333
Fax
(302) 524-8891
NPI assigned
Oct 6, 2017
Organization subpart
No

Authorized official

Name
Birao S Marycyst, DPT
Title
Owner
Phone
(302) 524-8333

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20171219000425 DE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476811555 Receives reassigned benefits from 4 practitioners
Practice locations: Millville, DE; Selbyville, DE

National Provider Directory

Locations

32782 Cedar Dr
Unit 101
Millville, DE 19967
Phone (302) 524-8333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
225400000X Yes

Addresses

Primary practice location

6 Ellis Alley
Unit 6
Selbyville, DE 19975

Mailing address

37197 E Stoney Run
Selbyville, DE 19975-4325
Phone (302) 524-8333

Other practice location 1

32769 Cedar Dr Unit 101
Millville, DE 19967-6998
Phone (302) 524-8333

Other providers in Selbyville, DE

All providers in Selbyville, DE · Rehabilitation Practitioner in Delaware

Sources for this page

Verify at the official NPI Registry.