Active NPI
Coastal Therapy Inc
- Physical Therapist
- Arcadia, CA
National Provider Identifier
1396300216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- COASTAL THERAPY INC
- Practice address
- 123 E Duarte Rd
Arcadia, CA 91006-3935 - Phone
- (626) 461-5350
- Fax
- (626) 462-9695
- NPI assigned
- May 6, 2019
- Last updated
- May 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth E H Richards Jr., PT
- Title
- President
- Phone
- (626) 461-5350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
123 E Duarte Rd
Arcadia, CA 91006-3935
Mailing address
123 E Duarte Rd
Arcadia, CA 91006-3935
Phone (626) 461-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
123 E Duarte Rd
Arcadia, CA 91006
Phone (626) 461-5337
2630 San Gabriel Blvd
Ste 103
Rosemead, CA 91770
Phone (562) 618-7708
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.
-
- Specialist
- Ventura, CA
- NPI 1083610018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557964800000",
"number": "1396300216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E DUARTE RD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063935",
"telephone_number": "626-461-5350",
"fax_number": "626-462-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E DUARTE RD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063935",
"telephone_number": "626-461-5350",
"fax_number": "626-462-9695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-06",
"last_updated": "2019-05-16",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "E H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-461-5350",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.