East Coast Neuro LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

EAST COAST NEURO LLC

Doing business as

East Coast Injury Clinic

Practice address

10550 Deerwood Park Blvd Ste 609a
Jacksonville, FL 32256-2811

Phone

(904) 513-3954

Fax

(904) 212-0223

NPI assigned

Nov 11, 2014

Last updated

Jan 22, 2026By 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

Vanessa Jaclyn WilczakNPI 1366775124

Title

Owner and Authorized Official

Phone

(904) 513-3954

Specialties & licenses 4

Addresses

Other names 1

• East Coast Injury Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vjwdc, Inc

  dba East Coast Elite Care

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1578223764

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20866/brand/1/csg/1/fhir/r4

Practitioners 19

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.

• Anna Manelis, DPT, PH.D.

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1780498071
  Medicare reassignment Care Compare group NPD
• Chelsea L Toldi, P.T.

  • Physical Therapist
  • Lakewood Ranch, FL
  • NPI 1851787790
  Medicare reassignment Care Compare group NPD
• Vanessa Jaclyn Wilczak, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1366775124
  Medicare reassignment NPD Authorized official
• Gregory McNamara, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1720051832
  Medicare reassignment Care Compare group
• Emily Ford, APRN

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1861887770
  Medicare reassignment NPD
• Renu Gautam, MD

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1558744417
  Medicare reassignment NPD
• Craig A Cherrin, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1194267625
  Medicare reassignment
• Adam James Whalen, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1396067963
  Medicare reassignment
• Catherine A Yelvington, PT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1023163912
  Medicare reassignment
• Harsh Trikambhai Dangaria, M.D.

  • Pain Medicine Physician
  • Saint Marys, GA
  • NPI 1861789992

  FL

  Medicare reassignment
• Jasmine Bentley, PTA

  • Physical Therapy Assistant
  • Jacksonville, FL
  • NPI 1306661947
  NPD
• Lindsey Dell

  • Physical Therapy Assistant
  • Jacksonville, FL
  • NPI 1013614700
  NPD

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1124424643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936957",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936957",
            "telephone_number": "941-209-5410",
            "fax_number": "941-209-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 DEERWOOD PARK BLVD STE 609A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562811",
            "telephone_number": "904-513-3954",
            "fax_number": "904-212-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13453 N Main St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322182773",
            "country_code": "US",
            "telephone_number": "904-513-3954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST COAST NEURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "WILCZAK",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-513-3954"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Coast Injury Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Easiedoesit
• Megan Elizabeth Easley
• East Coast Cardiology PA
• East Coast Compounding & Pharmacy, LLC
• East Coast Institute for Research, LLC
• Lara Ashley East Laneve, PA-C
• Carly Easterday
• Elizabeth Easterly, LPN
• Zowie Eastman
• Shantoria Easton, PHARMD

• Neurology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.