Coastal Family Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0008232 Issued in FL

Legal business name

COASTAL FAMILY CHIROPRACTIC PA

Practice address

10504 S Federal Hwy
Port St Lucie, FL 34952-5603

Phone

(772) 337-2748

Fax

(772) 337-1764

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Leach, DCNPI 1154383644

Title

President

Phone

(772) 337-2748

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Andrew Leach, DC

  • Chiropractor
  • Port St Lucie, FL
  • NPI 1154383644
  Medicare reassignment NPD Authorized official
• Allison Leach, DC

  • Chiropractor
  • Port St Lucie, FL
  • NPI 1376505388
  Medicare reassignment NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689636177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525603",
            "telephone_number": "772-337-2748",
            "fax_number": "772-337-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525603",
            "telephone_number": "772-337-2748",
            "fax_number": "772-337-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-337-2748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0008232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "97454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coast Pain Relief Center
• Coastal Care and Wellness PLLC
• Coastal Care Corporation
• Coastal Care Corporation
• Coastal Care Corporation
• Coastal Kids Speech, LLC
• Coastal Orthopedic Center, Inc
• Sarah Codreanu, MD
• Kara Cody
• Marvin Ishmeal Cohen, A.R.N.P.

• Chiropractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.