Coast Chiropractic Centers, Inc.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

CH 9690 Issued in FL

Legal business name

COAST CHIROPRACTIC CENTERS, INC.

Practice address

7270 College Pkwy Ste 2
Fort Myers, FL 33907-5658

Phone

(239) 278-3344

Fax

(239) 278-3159

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Brian Timothy Harcourt, D.C.NPI 1558343459

Title

President

Phone

(239) 278-3344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Brian Timothy Harcourt, DC FACO

  • Orthopedic Chiropractor
  • Fort Myers, FL
  • NPI 1558343459
  Medicare reassignment NPD Authorized official
• Gregory Ralph Hartman, D.C.

  • Chiropractor
  • Fort Myers, FL
  • NPI 1750435491
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1669740932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 COLLEGE PKWY STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075658",
            "telephone_number": "239-278-3344",
            "fax_number": "239-278-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 COLLEGE PKWY STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075658",
            "telephone_number": "239-278-3344",
            "fax_number": "239-278-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST CHIROPRACTIC CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "HARCOURT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-278-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH 9690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Cloughley, RBT
• Hailey Clouse
• Christi Cluff
• Caryle Lyne Clyatt, ARNP, FNP-BC
• Stephanie Jeane Clyne, ATC, LAT
• Coast Dental P.a.
• Coast Dental P.a.
• Coast Florida P.a.
• Coastal Cardiology P a
• Coastal Care Health System, Inc.

• Orthopedic Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Orthopedic Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.