Coastal Carolina Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COASTAL CAROLINA PHYSICAL THERAPY LLC

Doing business as

Coastal Carolina Physical Therapy LLC

Practice address

3014 S Morgans PT Rd Ste D
Mount Pleasant, SC 29466-7189

Phone

(843) 284-8092

NPI assigned

Jun 26, 2021

Last updated

Nov 29, 2023By 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

Thomas Hunter Nadeau, PT,DPTNPI 1750957965

Title

Physical Therapist/ Member

Phone

(207) 436-5324

Specialties & licenses 1

Addresses

Other names 1

• Coastal Carolina Physical Therapy LLC Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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.

• Thomas Hunter Nadeau, PT, DPT

  • Physical Therapist
  • Summerville, SC
  • NPI 1750957965
  Medicare reassignment Care Compare group Authorized official
• Alexander Norman Nadeau, PHYSICAL THERAPIST

  • Physical Therapist
  • Charleston, SC
  • NPI 1033785407
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1083284798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 MARINERS FRY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145808",
            "telephone_number": "207-436-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 S MORGANS PT RD STE D",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667189",
            "telephone_number": "843-284-8092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Alice Dr # Th27",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291502466",
            "country_code": "US",
            "telephone_number": "207-436-5324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Village Center Blvd Unit 1308",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295795607",
            "country_code": "US",
            "telephone_number": "207-436-5091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL CAROLINA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ MEMBER",
        "authorized_official_telephone_number": "207-436-5324",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadeaual@husson.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2216 Mariners Fry",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadeauth@husson.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2216 Mariners Fry",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Coastal Carolina Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Carolina Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• CMT Laboratories LLC
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• Physical Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.