Coastal Orthopedic Center, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PRO84 Issued in FL

Legal business name

COASTAL ORTHOPEDIC CENTER, INC

Practice address

510 SW Port St Lucie Blvd
Port St Lucie, FL 34953-1943

Phone

(772) 871-9200

Fax

(772) 336-4040

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Perretta, C.P.

Title

Owner

Phone

(772) 871-9200

Specialties & licenses 1

Addresses

Other names 1

• coastal limbs & brace Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Coastal Orthopedic Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Orthopedic Center

  • Prosthetic/Orthotic Supplier
  • Okeechobee, FL
  • NPI 1205078060
  NPD tax ID
• Coastal Orthopedic Center

  • Prosthetic/Orthotic Supplier
  • Sebring, FL
  • NPI 1407098130
  NPD tax ID
• Coastal Orthopedic Center

  • Durable Medical Equipment & Medical Supplies
  • Sebring, FL
  • NPI 1972745743
  NPD tax ID
• Coastalorthopedic Center, Inc.

  • Prosthetic/Orthotic Supplier
  • Okeechobee, FL
  • NPI 1992143614
  NPD tax ID

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1457534661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531943",
            "telephone_number": "772-871-9200",
            "fax_number": "772-336-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531943",
            "telephone_number": "772-871-9200",
            "fax_number": "772-336-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHOPEDIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "PERRETTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-871-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PRO84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "coastal limbs & brace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Care Corporation
• Coastal Care Corporation
• Coastal Care Corporation
• Coastal Family Chiropractic PA
• Coastal Kids Speech, LLC
• Sarah Codreanu, MD
• Kara Cody
• Marvin Ishmeal Cohen, A.R.N.P.
• Brianna Lynn Colando
• Cole Vision Corporation

• Prosthetic/Orthotic Supplier in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.