Coastal Physical Therapy, LLC
Organization Active NPI Physical Therapist · Rowley, MA
NPI 1669912036 · NPPES record last updated Mar 21, 2017
Key facts
- NPI
- 1669912036
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- COASTAL PHYSICAL THERAPY, LLC
- Practice address
- 319 Newburyport Tpke
Ste 101
Rowley, MA 01969-1753 - Phone
- (978) 948-2946
- NPI assigned
- Mar 3, 2017
- Organization subpart
- No
Authorized official
- Name
- Ryan Boyd
- Title
- President
- Phone
- (978) 948-2946
Practitioners 3
-
Ryan M Boyd, ATC
-
Rebecca L Walima Allred, PT DPT
-
Susan B Leader, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170404001284 | MA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2769768894 |
Receives reassigned benefits from 2 practitioners Practice locations: Rowley, MA |
National Provider Directory
Locations
319 Newburyport Tpke
Rowley, MA 01969
Phone (978) 948-2293
319 Newburyport Tpke
Ste 101
Rowley, MA 01969
Phone (978) 948-2946
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
319 Newburyport Tpke
Ste 101
Rowley, MA 01969-1753
Mailing address
319 Newburyport Tpke
Ste 101
Rowley, MA 01969-1753
Phone (978) 948-2946
Other providers in Rowley, MA
- Erin Theresa Bright
- Ashley Bruce
- Carey Family Group, Inc.
- Sean Carey
- Adelle Chingas
- Timothy R Colby
- Janice Colpitts
- Comstar
- Elena Connors
- Continence Connection, LLC
All providers in Rowley, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.