NPIMap

Organization Active NPI

Coastal Medical Massage Institute LLC

Doing business as Coastal Medical Massage

  • Massage Therapist
  • Milton, FL
National Provider Identifier
1043172893
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
COASTAL MEDICAL MASSAGE INSTITUTE LLC
Doing business as
Coastal Medical Massage
Practice address
5599 Stewart St
Milton, FL 32570-4344
Phone
(850) 530-8082
Fax
(448) 216-2818
NPI assigned
Dec 1, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Paul J Phelps
Title
Business Manager
Phone
(850) 530-8082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

5599 Stewart St
Milton, FL 32570-4344

Mailing address

3702 Rockwood Dr
Pace, FL 32571-1867
Phone (850) 530-8082

Other names 1

  • Coastal Medical Massage Doing business as

National Provider Directory

National Provider Directory

Locations

5599 Stewart St
Milton, FL 32570
Phone (850) 530-8082

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1043172893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 ROCKWOOD DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711867",
            "telephone_number": "850-530-8082",
            "fax_number": "448-216-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5599 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704344",
            "telephone_number": "850-530-8082",
            "fax_number": "448-216-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL MASSAGE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "850-530-8082"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Medical Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.