Coastal Physical Therapy Associates

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COASTAL PHYSICAL THERAPY ASSOCIATES

Practice address

906 S Federal Hwy Ste B
Boynton Beach, FL 33435-5671

Phone

(561) 738-0805

Fax

(561) 738-0815

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Andrew Alan Dietz, DPT

Title

Owner/Manager/President

Phone

(267) 374-9785

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1295169258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S FEDERAL HWY STE B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355671",
            "telephone_number": "561-738-0805",
            "fax_number": "561-738-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S FEDERAL HWY STE B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355671",
            "telephone_number": "561-738-0805",
            "fax_number": "561-738-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "267-374-9785",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Clyne
• Rikki Clyne, COTA/L
• Teresita C Co, ARNP
• Coast Florida P.a. (Coast Dental-Boynton Beach)
• Coastal Care PT, LLC
• Mikki Lauren Cobb, LMHC, RPT-S, QS
• Cogent Healthcare of Pensacola LLC
• Cogent Healthcare of Pensacola LLC
• Aaron Joshua Cohen, PA-C
• Chana Cohen, LCSW

• Physical Therapist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.