Coastal Occupational Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

COASTAL OCCUPATIONAL THERAPY, LLC

Practice address

870 N Miramar Ave # 241
Indialantic, FL 32903-3054

Phone

(321) 361-8040

NPI assigned

Feb 10, 2020

Organization subpart

No

Name

Jital Patel, OTR/L, BCTSNPI 1841624699

Title

Occupational Therapist

Phone

(321) 361-8040

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

• Jital Patel, OTR/L, BCTS

  • Occupational Therapist
  • Indialantic, FL
  • NPI 1841624699

  FL, Occupational Therapist

  Medicare reassignment NPD Authorized official
• Mica Allen, OTD, OTR/L

  • Occupational Therapist
  • Palm Bay, FL
  • NPI 1932618147

  FL, Occupational Therapist

  Medicare reassignment NPD
• Amanda Goelz, DPT, ATC

  • Physical Therapist
  • Palm Bay, FL
  • NPI 1710311014

  FL

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in FL

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2020.

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1669004362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MIRAMAR AVE # 241",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033054",
            "telephone_number": "201-779-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N MIRAMAR AVE # 241",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033054",
            "telephone_number": "321-361-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1999 Island Club Dr Apt 29",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329032073",
            "country_code": "US",
            "telephone_number": "201-779-6392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JITAL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "321-361-8040",
        "authorized_official_credential": "OTR/L, BCTS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Jeanette Casale
• Shannon Causapin, PHARMD
• Centre for Family Medicine
• Changing Elements Acupuncture PLLC
• Chealsea Clark, COTA
• Coastal Pulmonary and Sleep Center LLC
• Marilyn Cobb, LMT
• Noelle Ann Cohen, RD
• Ryan Collins, DMD
• Community Health of Melbourne Beach LLC

• All providers in Indialantic, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.