NPIMap

Organization Active NPI

Coastal Therapy & Learning Center, Inc.

  • Occupational Therapist
  • Jacksonville Beach, FL
National Provider Identifier
1184711053
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
COASTAL THERAPY & LEARNING CENTER, INC.
Practice address
2730 Isabella Blvd Ste 10
Jacksonville Beach, FL 32250-8002
Phone
(904) 372-4070
Fax
(904) 372-4075
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Nancy Kathryn Deangelis
Title
Director
Phone
(904) 469-3355

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA2176 FL

Addresses

Primary practice location

2730 Isabella Blvd Ste 10
Jacksonville Beach, FL 32250-8002

Mailing address

2730 Isabella Blvd Ste 10
Jacksonville Beach, FL 32250-8002
Phone (904) 372-4070

Other practice location 1

6100 Greenland Rd Ste 901
Jacksonville, FL 32258-7450
Phone (904) 372-4070

Other identifiers 1

IdentifierTypeStateIssuer
888900700MedicaidFL

National Provider Directory

National Provider Directory

Locations

6100 Greenland Rd
Jacksonville, FL 32258
Phone (904) 466-1253

6100 Greenland Rd
Ste 901
Jacksonville, FL 32258

2730 Isabella Blvd
Ste 10
Jacksonville Beach, FL 32250
Phone (904) 372-4070

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1184711053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 ISABELLA BLVD STE 10",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508002",
            "telephone_number": "904-372-4070",
            "fax_number": "904-372-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 ISABELLA BLVD STE 10",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508002",
            "telephone_number": "904-372-4070",
            "fax_number": "904-372-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Greenland Rd Ste 901",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322587450",
            "country_code": "US",
            "telephone_number": "904-372-4070",
            "fax_number": "904-372-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL THERAPY & LEARNING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-469-3355"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888900700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.