Organization Active NPI

Coastal Physical Therapy Center LLC

  • Internal Medicine Physician
  • Ewing, NJ
National Provider Identifier
1437480266
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COASTAL PHYSICAL THERAPY CENTER LLC
Practice address
795 Parkway Ave Unit 2
Ewing, NJ 08618-2704
Phone
(862) 781-3500
Fax
(732) 863-1707
NPI assigned
Jan 19, 2010
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Dr. Abisoye Olawale Ariyo, PTNPI 1861639056
Title
Owner
Phone
(862) 781-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

795 Parkway Ave Unit 2
Ewing, NJ 08618-2704

Mailing address

795 Parkway Ave Ste A2
Ewing, NJ 08618-2704
Phone (862) 781-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220210000820 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345372793 Receives reassigned benefits from 2 practitioners
Practice locations: Ewing, NJ

National Provider Directory

National Provider Directory

Locations

795 Parkway Ave
Unit 2
Ewing, NJ 08618
Phone (732) 814-8900

Practitioners & affiliated clinicians

Practitioners 3

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": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1437480266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 PARKWAY AVE STE A2",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182704",
            "telephone_number": "862-781-3500",
            "fax_number": "862-781-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 PARKWAY AVE UNIT 2",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182704",
            "telephone_number": "862-781-3500",
            "fax_number": "732-863-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICAL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "ARIYO",
        "authorized_official_first_name": "ABISOYE",
        "authorized_official_middle_name": "OLAWALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-781-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.