Coastal Therapeutics, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COASTAL THERAPEUTICS, INC

Doing business as

Coastal Therapeutics

Practice address

28260 US Highway 98
Daphne, AL 36526-7075

Phone

(251) 626-5691

NPI assigned

Nov 19, 2014

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

COASTAL THERAPEUTICSAs reported in NPPES

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

Authorized official

Name

Mrs. Starla Kay Sullivan

Title

Owner

Phone

(251) 633-6235

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Coastal Therapeutics Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Coastal Therapeutics, Inc

  dba Coastal Therapeutics

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
  • NPI 1356434906

  5496960130

  Same PAC ID
• Coastal Therapeutics, Inc

  dba Coastal Therapeutics

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1699541516

  5496960130

  Same PAC ID

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 Therapeutics Inc3 organizations share this tax ID, including this one

Part of

Coastal Therapeutics Inc

Other organizations with this tax ID 2

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

• Coastal Therapeutics, Inc

  dba Coastal Therapeutics

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
  • NPI 1356434906
  NPD tax ID
• Coastal Therapeutics, Inc

  dba Coastal Therapeutics

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1699541516
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Coastal Therapeutics, Inc

  dba Coastal Therapeutics

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
  • NPI 1356434906
  NPPES parent name

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1508263575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28260 US HIGHWAY 98",
            "address_2": "STE 4",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267075",
            "telephone_number": "251-626-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28260 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267075",
            "telephone_number": "251-626-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL THERAPEUTICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL THERAPEUTICS",
        "enumeration_date": "2014-11-19",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "STARLA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-633-6235",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00935005",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51511102",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coastal Psychiatry, LLC
• Coastline Clinic PLLC
• Coastview PLLC
• Amanda Janette Cobb, O.D.
• Katherine Cobb
• Kathryn S Coffman, LPC, NCC

• Durable Medical Equipment & Medical Supplies in Daphne, AL
• Providers in Daphne, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.