Palm Coast Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PALM COAST PHYSICAL THERAPY LLC

Practice address

154 State St
Bluffton, SC 29910

Phone

(908) 265-5555

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Bina Alfinito

Title

Managing Member

Phone

(908) 265-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Thomas William Puckhaber, DPT

  • Orthopedic Physical Therapist
  • Freehold, NJ
  • NPI 1437395696

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1245960756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SKYLINE DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625605",
            "telephone_number": "908-265-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 STATE ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "telephone_number": "908-265-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COAST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "ALFINITO",
        "authorized_official_first_name": "BINA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-265-5555"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthosport Physical Therapy, LLC
• Heather Oser, M.A. CCC-SLP
• Outpatient Imaging Services LLC
• Charity Owens
• Dawn L Page, MA, LPC
• Allyson Marie Palmer, OTR/L
• Palmetto Dental Arts, LLC
• Palmetto Dental Arts, PA
• Palmetto Golf Performance & Physical Therapy LLC
• Palmetto Medical Group LLC

• Physical Therapy Clinic/Center in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.