NPIMap

Organization Active NPI

Coastal Physical Therapy Associates

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1295169258
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Andrew Alan Dietz, DPTNPI 1588801716
Title
Owner/Manager/President
Phone
(267) 374-9785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

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

Mailing address

906 S Federal Hwy Ste B
Boynton Beach, FL 33435-5671
Phone (561) 738-0805

National Provider Directory

National Provider Directory

Locations

906 S Federal Hwy
Ste B
Boynton Beach, FL 33435
Phone (561) 738-0805

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • 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.