Coastal Therapy Associates, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33120 Issued in CA

Legal business name

COASTAL THERAPY ASSOCIATES, INC.

Practice address

3405 Kenyon St
Suite 212
San Diego, CA 92110-5005

Phone

(619) 523-9874

Fax

(619) 523-9875

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Stephen Chermak

Title

President

Phone

(619) 523-9874

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alice Chung, DPT

  • Physical Therapist
  • Alhambra, CA
  • NPI 1063773950
  NPD (past)
• Gregory Mueller

  • Physical Therapist
  • Egg Harbor Township, NJ
  • NPI 1528100153
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1477610053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST",
            "address_2": "SUITE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105005",
            "telephone_number": "619-523-9874",
            "fax_number": "619-523-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST",
            "address_2": "SUITE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105005",
            "telephone_number": "619-523-9874",
            "fax_number": "619-523-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "CHERMAK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-523-9874"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Serenity Psychiatry a Professional Nursing Corporation
• Coastal Skin and Eye Institute, Inc.
• Coastal Sleep Solutions San Diego, Inc.
• Coastal Speech Therapy Inc
• Coastal Sports and Wellness, Inc
• Coastal Wellness Services, LLC
• Coastline Behavioral, LLC
• Amanda Georgianna Coates
• Natalie Ann Coates, MA
• Amanda Cobb, M.D.

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.