Coastal Orthopedics & Sports Medicine of Southwest Florida PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FLORIDA PA

Practice address

8000 Sr 64 E
Bradenton, FL 34212

Phone

(941) 792-1404

Fax

(941) 761-0712

NPI assigned

Aug 21, 2006

Last updated

Feb 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Paige Lemay

Title

Ceo

Phone

(941) 792-1404

Specialties & licenses 7

Addresses

Other identifiers 3

Other names 1

• Bradenton Orthopaedic Associates Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Coastal Orthopedics & Sports Medicine of Southwest FL, PA

  • Specialist
  • Bradenton, FL
  • NPI 1811134794

  3274504386

  Same PAC ID
• Coastal Orthopedics & Sports Medicine of Southwest Florida PA

  • Specialist
  • Lakewood Ranch, FL
  • NPI 1568609444

  3274504386

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Coastal Orthopedics and Sports Medicine of Southwest Florida P.a.

  dba Coastal Physical Therapy

  • Physical Therapist
  • Bradenton, FL
  • NPI 1942361522

  O20100930058239

  Same enrollment

Locations

Practitioners 126

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.

• Miranda Jane Anziano, PT, DPT

  • Orthopedic Physical Therapist
  • Bradenton, FL
  • NPI 1700361425
  Medicare reassignment Care Compare group NPD
• Jacob Babinec

  • Physician Assistant
  • Bradenton, FL
  • NPI 1306489943
  Medicare reassignment Care Compare group NPD
• Elliott Borgen, DPT

  • Physical Therapist
  • Seminole, FL
  • NPI 1578273322
  Medicare reassignment Care Compare group NPD
• Kent D Bown, PA

  • Surgical Physician Assistant
  • Bradenton, FL
  • NPI 1346277258
  Medicare reassignment Care Compare group NPD
• Melissa M Boyette, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Bradenton, FL
  • NPI 1831340405

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Eva Ballard Brennan, PA-C

  • Surgical Physician Assistant
  • Bradenton, FL
  • NPI 1821760455
  Medicare reassignment Care Compare group NPD
• David V Cashen, MD

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1124035696
  Medicare reassignment Care Compare group NPD
• Camille Aubrey Dupont, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Bradenton, FL
  • NPI 1508223728
  Medicare reassignment Care Compare group NPD
• Frank Fedorczyk, PT, DPT, OCS

  • Physical Therapist
  • Bradenton, FL
  • NPI 1902806367
  Medicare reassignment Care Compare group NPD
• Ashley Fowler, P.A-C

  • Physician Assistant
  • Bradenton, FL
  • NPI 1932473121
  Medicare reassignment Care Compare group NPD
• Joshua Adam Greenspoon, MD

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1689103731
  Medicare reassignment Care Compare group NPD
• Melissa Guigliano, MS, OTR/L

  • Occupational Therapist
  • Sun City Center, FL
  • NPI 1003427584
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1285740720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 STATE ROAD 64 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342127703",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 SR 64 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34212",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6202 17th Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342097838",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8340 Lakewood Ranch Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025046",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "LEMAY",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-792-1404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264533500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF1532",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "00712",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradenton Orthopaedic Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bradenton Orthopaedic Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Scott K Clulow, DO
• Thomas William Clyburn III, PH.D.
• Coastal Anesthesia Providers, LLC
• Coastal Cardiovascular Consultants PLLC
• Coastal Orthopedics & Sports Medicine of Southwest FL, PA
• Coastal Orthopedics and Sports Medicine of Southwest Florida P.a. (Coastal Physical Therapy)
• Coastal Practice Management LLC
• Coastal Senior Healthcare Inc
• Claire Gene Coats, PA-C
• Nathan Jay Coblentz

• Orthopaedic Surgery Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.