Coastal Physical Medicine & Rehabilitation Services, Inc.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

COASTAL PHYSICAL MEDICINE & REHABILITATION SERVICES, INC.

Practice address

2000 Neuse Blvd
New Bern, NC 28560-3449

Phone

(252) 633-8024

Fax

(252) 633-8994

NPI assigned

Jul 16, 2006

Last updated

Jun 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Mack

Title

Practice Admin

Phone

(252) 633-8024

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1447277405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-633-8024",
            "fax_number": "252-633-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-633-8024",
            "fax_number": "252-633-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICAL MEDICINE & REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "252-633-8024",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790198E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Colby Cockrell, DMD
• Dean Steven Cohen, D.O.
• Olivia Coker

• Rehabilitation Practitioner in New Bern, NC
• Providers in New Bern, NC by specialty
• Rehabilitation Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.