Organization Active NPI

Coastal Rehabilitation Inc

  • Physical Therapist
  • New Bedford, MA
National Provider Identifier
1083866644
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COASTAL REHABILITATION INC
Practice address
225 Rockland St
New Bedford, MA 02740-3136
Phone
(508) 999-4040
NPI assigned
Oct 15, 2008
Last updated
Nov 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Dr. Nicholas K Psichopiadas
Title
Partner
Phone
(508) 999-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

225 Rockland St
New Bedford, MA 02740-3136

Mailing address

225 Rockland St
New Bedford, MA 02740-3136
Phone (508) 999-4040

Other names 1

  • COASTAL REHABILITATION Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081209000269 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406917442 Receives reassigned benefits from 1 practitioner
Practice locations: Dartmouth, MA

National Provider Directory

National Provider Directory

Locations

49 State Rd
#101
North Dartmouth, MA 02747
Phone (508) 999-4040

49 State Rd
Unit 101
North Dartmouth, MA 02747
Phone (508) 999-4040

Practitioners & affiliated clinicians

Practitioners 5

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": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1083866644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ROCKLAND ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403136",
            "telephone_number": "508-999-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ROCKLAND ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403136",
            "telephone_number": "508-999-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "PSICHOPIADAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-999-4040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL REHABILITATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.