Organization Active NPI

Coastal Therapy Services, Inc

  • Occupational Therapist
  • Bay St Louis, MS
National Provider Identifier
1184863870
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23OT022 Issued in MS
Legal business name
COASTAL THERAPY SERVICES, INC
Practice address
1 Wood PL
Bay St Louis, MS 39520-2836
Phone
(228) 467-6955
Fax
(228) 467-2890
NPI assigned
Feb 19, 2009
Last updated
Feb 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Charles Thomas Elkins
Title
Office Manager
Phone
(228) 467-6955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 23OT022 MS Primary

Addresses

Primary practice location

1 Wood PL
Bay St Louis, MS 39520-2836

Mailing address

1 Wood PL
Bay St Louis, MS 39520-2836
Phone (228) 467-6955

National Provider Directory

National Provider Directory
Tax ID family
Coastal Therapy Services Inc2 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": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1184863870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOOD PL",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395202836",
            "telephone_number": "228-467-6955",
            "fax_number": "228-467-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOOD PL",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395202836",
            "telephone_number": "228-467-6955",
            "fax_number": "228-467-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-467-6955"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "23OT022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay St Louis, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.