Organization Active NPI

Coastal Therapy Services, LLC

  • Early Intervention Provider Agency
  • Hampton, NH
National Provider Identifier
1144535394
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1273 Issued in NH
Legal business name
COASTAL THERAPY SERVICES, LLC
Practice address
989 Ocean Blvd
Unit 10
Hampton, NH 03842-1453
Phone
(603) 601-2752
Fax
(603) 601-2752
NPI assigned
Aug 12, 2010
Last updated
Aug 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Kendra L Earwood, MS, CCC-SLPNPI 1508877721
Title
Manager
Phone
(603) 601-2752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1273 NH
Early Intervention Provider Agency 252Y00000X 1273 NH Primary

Addresses

Primary practice location

989 Ocean Blvd
Unit 10
Hampton, NH 03842-1453

Mailing address

45 Lafayette Rd
Suite 120
North Hampton, NH 03862-2451
Phone (603) 601-2752

National Provider Directory

National Provider Directory
Tax ID family
Coastal Therapy Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1144535394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LAFAYETTE RD",
            "address_2": "SUITE 120",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622451",
            "telephone_number": "603-601-2752",
            "fax_number": "603-601-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 OCEAN BLVD",
            "address_2": "UNIT 10",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421453",
            "telephone_number": "603-601-2752",
            "fax_number": "603-601-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "EARWOOD",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-601-2752",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1273",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NH",
            "license": "1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.