Coastal Rehabilitation & Regenerative Medicine, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

COASTAL REHABILITATION & REGENERATIVE MEDICINE, LLC

Practice address

100 Water Grande Blvd
Little River, SC 29566-8162

Phone

(609) 233-8064

NPI assigned

Mar 19, 2022

Last updated

Mar 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Edward Huber, DONPI 1477966828

Title

Physician/Ceo

Phone

(609) 233-8064

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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.

• James Edward Huber, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Little River, SC
  • NPI 1477966828
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1063161933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 SANDEN RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524118026",
            "telephone_number": "609-233-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WATER GRANDE BLVD",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668162",
            "telephone_number": "609-233-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL REHABILITATION & REGENERATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "609-233-8064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cerner",
            "affiliation": "Y",
            "affiliationName": "Tidelands Health",
            "address_1": "100 Water Grande Blvd",
            "city": "Little River",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295668162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Coastal Podiatry Associates PA
• Coastal Spine Institute PC
• Amber Collington, HIS
• Collins Anesthesia Associates
• Marc James Comianos, DO
• Kelli Lynn Connors

• Rehabilitation Hospital in Little River, SC
• Providers in Little River, SC by specialty
• Rehabilitation Hospital in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.