Coastal Hand & Physical Therapy, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003604 Issued in WA

Legal business name

COASTAL HAND & PHYSICAL THERAPY, PLLC

Practice address

303 S F St
Aberdeen, WA 98520-4124

Phone

(360) 532-3808

Fax

(360) 533-4884

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Jarod Mann, OTNPI 1720299621

Title

Occupatinal Therapist

Phone

(360) 637-9263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarod Frederick Mann, OTR/L, CHT

  • Hand Occupational Therapist
  • Aberdeen, WA
  • NPI 1720299621
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1356735153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 10TH ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202423",
            "telephone_number": "360-532-3808",
            "fax_number": "360-533-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S F ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204124",
            "telephone_number": "360-532-3808",
            "fax_number": "360-533-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HAND & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JAROD",
        "authorized_official_title_or_position": "OCCUPATINAL THERAPIST",
        "authorized_official_telephone_number": "360-637-9263",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamri Clark
• Katie Elise Clarkson, MSN, ARNP, BC
• Mary Joy Clayton, ARNP
• Holly Celeste Clements, ARNP
• Coastal Community Action Program
• Coastal Internal Medicine, PLLC
• Coastal Internal Medicine, PLLC
• Coastal Physician Anesthesia, PS
• Coastal Specialty Imaging
• Coastal Transport LLC

• Occupational Therapist in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.