Individual provider Active NPI

Secilie Joiner-Truong, DPT

  • Physical Therapist
  • Palm Coast, FL
National Provider Identifier
1407656408
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42789 Issued in FL
Practice address
360 Palm Coast Pkwy NE
Palm Coast, FL 32137-3805
Phone
(386) 446-4101
Fax
(386) 447-2161
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42789 FL Primary

Addresses

Primary practice location

360 Palm Coast Pkwy NE
Palm Coast, FL 32137-3805

Mailing address

360 Palm Coast Pkwy NE
Palm Coast, FL 32137-3805
Phone (386) 446-4101

Other identifiers 1

IdentifierTypeStateIssuer
PT42789OtherFLPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402000660 FL Practitioner - Physical Therapist in Private Practice 0749703577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Rehab and Sports MedicineGroup PAC ID 5294977666, 7 clinicians

Practice addresses (Care Compare)

360 Palm Coast Pkwy N E
Palm Coast, FL 32137-4764
Phone (386) 446-4101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Rehab and Sports Medicine Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients

Locations

360 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 446-4101

360 Palm Coast Pkwy NE
#N
Palm Coast, FL 32137
Phone (386) 446-4101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1407656408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PALM COAST PKWY NE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373805",
            "telephone_number": "386-446-4101",
            "fax_number": "386-447-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PALM COAST PKWY NE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373805",
            "telephone_number": "386-446-4101",
            "fax_number": "386-447-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINER-TRUONG",
        "first_name": "SECILIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT42789",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.