Active NPI
Gold Coast Physio, LLC
- Physical Therapist
- Walled Lake, MI
National Provider Identifier
1487598512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GOLD COAST PHYSIO, LLC
- Practice address
- 100 Decker Rd
Walled Lake, MI 48390-3625 - Phone
- (248) 896-1400
- NPI assigned
- Apr 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Narmean Pedawi, OTR/L
- Title
- Owner/Manager
- Phone
- (248) 918-8300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
100 Decker Rd
Walled Lake, MI 48390-3625
Mailing address
631 Anhinga Dr
East Lansing, MI 48823-8364
Phone (248) 918-8300
Other practice location 1
1320 Rickett Rd
Brighton, MI 48116-1833
Phone (810) 247-8442
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurorehabilitation Occupational Therapist
- Katy, TX
- NPI 1437950102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1487598512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 ANHINGA DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488238364",
"telephone_number": "248-918-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DECKER RD",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483903625",
"telephone_number": "248-896-1400"
}
],
"practiceLocations": [
{
"address_1": "1320 Rickett Rd",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481161833",
"country_code": "US",
"telephone_number": "810-247-8442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GOLD COAST PHYSIO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-17",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "PEDAWI",
"authorized_official_first_name": "NARMEAN",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "248-918-8300",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walled Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.