Coast 2 Coast Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COAST 2 COAST SPORTS MEDICINE

Practice address

5300 Powerline Rd
Fort Lauderdale, FL 33309-3172

Phone

(626) 241-5134

NPI assigned

Dec 6, 2023

Organization subpart

No

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

Authorized official

Name

Kristian Salazar, PT, DPT

Title

Owner / Physical Therapist

Phone

(626) 241-5134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Nicholas James Delisi, PT, DPT

  • Physical Therapist
  • Miami, FL
  • NPI 1356996680
  Medicare reassignment Care Compare group NPD
• Marvin Sublett Jr., PT, DPT

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1700262532
  Medicare reassignment Care Compare group NPD
• Kristian Noguchi-Salazar

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1902448400

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1245007665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 OXFORD DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910072643",
            "telephone_number": "626-241-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 POWERLINE RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093172",
            "telephone_number": "626-241-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST 2 COAST SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "626-241-5134",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cmet, LLC
• Cmet, LLC
• CMS Ft. Lauderdale
• CNC Counseling Services, LLC
• Coast 2 Coast Medical Supplies LLC
• Coastal Infusion, LLC
• Coastal Rheumatology, LLC
• Coastal Surgical Services LLC
• Rachel Cobas
• Ledya Cobian, M.D.

• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.