NPIMap

Organization Active NPI

Coastal Rehabilitation Inc

  • Physical Therapist
  • Manteo, NC
National Provider Identifier
1346466430
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COASTAL REHABILITATION INC
Practice address
503 Cypress LN
Suite a
Manteo, NC 27954-8016
Phone
(252) 473-9633
Fax
(252) 473-9635
NPI assigned
Apr 17, 2007
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COASTAL REHABILITATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Megan Elizabeth Morningstar
Title
Practice Manager
Phone
(252) 338-2114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

503 Cypress LN
Suite a
Manteo, NC 27954-8016

Mailing address

101 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 338-2114

Other identifiers 4

IdentifierTypeStateIssuer
7200037MedicaidNC
07763OtherBCBS
7700350MedicaidNC
0002WOtherBCBS FACILITY

National Provider Directory

National Provider Directory
Part of
Coastal Rehab Inc

Locations

101 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2114

503 Cypress Ln
#A
Manteo, NC 27954
Phone (252) 338-2114

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1346466430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-338-2114",
            "fax_number": "252-338-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CYPRESS LN",
            "address_2": "SUITE A",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279548016",
            "telephone_number": "252-473-9633",
            "fax_number": "252-473-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL REHABILITATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL REHABILITATION INC",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "MORNINGSTAR",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "252-338-2114"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200037",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07763",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700350",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY",
            "identifier": "0002W",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteo, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.