NPIMap

Organization Active NPI

Coastal Healthcare Services, Inc

  • Occupational Therapist
  • Washington, DC
National Provider Identifier
1700041753
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
COASTAL HEALTHCARE SERVICES, INC
Practice address
3801 Connecticut Ave NW # 100
Washington, DC 20008-4530
Phone
(202) 525-1641
NPI assigned
Jul 18, 2008
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Quiana MitchemNPI 1659499853
Title
Executive Director
Phone
(202) 525-1641

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Audiologist 231H00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

3801 Connecticut Ave NW # 100
Washington, DC 20008-4530

Mailing address

3801 Connecticut Ave NW # 100
Washington, DC 20008-4530
Phone (202) 525-1641

Other practice location 1

1927 1st ST NW Ste. A
Washington, DC 20001
Phone (202) 203-8559

National Provider Directory

National Provider Directory
Tax ID family
Coastal Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1700041753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CONNECTICUT AVE NW # 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084530",
            "telephone_number": "202-525-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CONNECTICUT AVE NW # 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084530",
            "telephone_number": "202-525-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1927 1st ST NW Ste. A",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20001",
            "country_code": "US",
            "telephone_number": "202-203-8559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "MITCHEM",
        "authorized_official_first_name": "QUIANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-525-1641"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.