Organization Active NPI

Coastal Therapy Inc

  • Physical Therapy Clinic/Center
  • Savannah, GA
National Provider Identifier
1346366796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COASTAL THERAPY INC
Practice address
911 E 70TH St
Savannah, GA 31405-4814
Phone
(912) 355-0123
Fax
(912) 355-3856
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deanne L Ferraro
Title
VP Administrator
Phone
(912) 355-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X GA Primary

Addresses

Primary practice location

911 E 70TH St
Savannah, GA 31405-4814

Mailing address

911 E 70TH St
Savannah, GA 31405-4814
Phone (912) 355-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000211 GA Part B Supplier - Clinic/Group Practice 1052308434 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory
Tax ID family
Coastal Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3965 US Highway 17
Richmond Hill, GA 31324

8872 Ford Ave
Richmond Hill, GA 31324
Phone (912) 459-1270

1 E Jackson Blvd
Ste 201
Savannah, GA 31405
Phone (912) 351-2382

329 Commercial Dr
Ste 110
Savannah, GA 31406

911 E 70th St
Savannah, GA 31405
Phone (912) 355-0123

Practitioners & affiliated clinicians

Practitioners 12

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346366796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054814",
            "telephone_number": "912-355-0123",
            "fax_number": "912-355-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054814",
            "telephone_number": "912-355-0123",
            "fax_number": "912-355-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRARO",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP ADMINISTRATOR",
        "authorized_official_telephone_number": "912-355-0123"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.