NPIMap

Organization Active NPI

Coastal Rehabilitation Services Inc

  • Specialist
  • West Palm Beach, FL
National Provider Identifier
1083672505
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 2467 Issued in FL
Legal business name
COASTAL REHABILITATION SERVICES INC
Practice address
1717 N Flagler Dr
West Palm Beach, FL 33407-6555
Phone
(561) 655-2222
Fax
(561) 659-5240
NPI assigned
May 3, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Padgett Miller, PT, DOMNPI 1447218961
Title
President
Phone
(561) 655-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP 1550 & AP 1551 FL
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X PT 2467 FL Primary

Addresses

Primary practice location

1717 N Flagler Dr
West Palm Beach, FL 33407-6555

Mailing address

1717 N. Flagler Dr
#8
West Palm Beach, FL 33407
Phone (561) 655-2222

Other identifiers 2

IdentifierTypeStateIssuer
Y035POtherFLBC BS FL
C0908OtherFLBC BS FL

National Provider Directory

National Provider Directory

Locations

1717 N Flagler Dr
Ste 8
West Palm Beach, FL 33407
Phone (561) 655-2222

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083672505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N. FLAGLER DR",
            "address_2": "#8",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-655-2222",
            "fax_number": "561-659-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076555",
            "telephone_number": "561-655-2222",
            "fax_number": "561-659-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PADGETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-655-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1550 & AP 1551",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT 2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FL",
            "identifier": "Y035P",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FL",
            "identifier": "C0908",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.