Coast to Coast Rehabilitation Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

1215200 Issued in TX

Legal business name

COAST TO COAST REHABILITATION INC

Practice address

8553 N Beach St
Suite 229
Fort Worth, TX 76244-4919

Phone

(817) 797-7934

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Abrian Flowers

Title

Physical Therapist

Phone

(817) 797-7934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1194276527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 TIMBERGLEN ROAD APT 3",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75287",
            "telephone_number": "817-797-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8553 N BEACH ST",
            "address_2": "SUITE 229",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444919",
            "telephone_number": "817-797-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "ABRIAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-797-7934"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "1215200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.