NPIMap

Organization Active NPI

Coastal Kids Therapy PLLC

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1669732079
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
COASTAL KIDS THERAPY PLLC
Practice address
219 Racine Dr
Suite 1-a
Wilmington, NC 28403-8827
Phone
(910) 792-6706
Fax
(910) 792-6737
NPI assigned
May 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Mrs. Laurel Thornton, OTR/LNPI 1457408908
Title
Occupational Therapist
Phone
(910) 977-0658

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

219 Racine Dr
Suite 1-a
Wilmington, NC 28403-8827

Mailing address

219 Racine Dr
Suite 1-a
Wilmington, NC 28403-8827
Phone (910) 792-6706

National Provider Directory

National Provider Directory

Locations

503 Covil Ave
Ste 100
Wilmington, NC 28403
Phone (910) 251-5700

219 Racine Dr
Ste A1
Wilmington, NC 28403
Phone (910) 792-6706

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1669732079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RACINE DR",
            "address_2": "SUITE 1-A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038827",
            "telephone_number": "910-792-6706",
            "fax_number": "910-792-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RACINE DR",
            "address_2": "SUITE 1-A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038827",
            "telephone_number": "910-792-6706",
            "fax_number": "910-792-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL KIDS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "910-977-0658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.