Coast to Coast Comprehensive Rehab Services, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT22682 Issued in FL

Legal business name

COAST TO COAST COMPREHENSIVE REHAB SERVICES, INC

Practice address

14750 SW 26TH St
Suite#114
Miami, FL 33185-5933

Phone

(305) 456-0901

Fax

(305) 456-0906

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Luis F Roa, PT

Title

President

Phone

(305) 456-0901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1104223791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST",
            "address_2": "SUITE#114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855933",
            "telephone_number": "305-456-0901",
            "fax_number": "305-456-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST",
            "address_2": "SUITE#114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855933",
            "telephone_number": "305-456-0901",
            "fax_number": "305-456-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST COMPREHENSIVE REHAB SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "ROA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-456-0901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT22682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CN Medical Depot Inc
• Cnfalcon, Inc
• CNG Professional Group Inc
• Coach Cathy Connecting Mind and Body
• Coalition for Mental Health
• Coast to Coast Diagnostic Inc
• Coast to Coast Healthcare Solutions, Inc
• Coast to Coast Med Equip
• Coastal Care Services, Inc
• Coastal Care SVCS Tpa, Inc.

• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.