Coastal Physical Therapy and Sports Rehabilitation

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

COASTAL PHYSICAL THERAPY AND SPORTS REHABILITATION

Practice address

258 Lombard St
Thousand Oaks, CA 91360-5806

Phone

(805) 497-0817

Fax

(805) 497-8933

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Alexandria Berrington

Title

Office Manager

Phone

(805) 497-0817

Specialties & licenses 1

Addresses

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.

• Crystal Rene Thomas, PT

  • Sports Physical Therapist
  • Moorpark, CA
  • NPI 1861664377
  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1104443837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 LOMBARD ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605806",
            "telephone_number": "805-497-0817",
            "fax_number": "805-497-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 LOMBARD ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605806",
            "telephone_number": "805-497-0817",
            "fax_number": "805-497-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICAL THERAPY AND SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "BERRINGTON",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-497-0817"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Clavel
• Clean Treatment Center, Inc.
• Arline Louise Clyburn, M.N.,C.S.,R.N.
• Coastal Bloom Behavior LLC
• Coastal Bloom Behavior LLC
• Coastal Radiation Oncology Medical Group, Inc. (North Oaks Radiation Oncology Medical Center, Inc.)
• Lynn Coates-Leisen, MSN, APRN, FNP-C
• William Madison Coburn Jr., M.D.
• Jayashree S Coca, M.D.
• Robert Coffey, M.D.

• Sports Physical Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.