Coastal Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COASTAL REHAB

Practice address

6341 Engram Rd
New Smyrna Beach, FL 32169-4713

Phone

(904) 251-5546

Fax

(407) 703-9754

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Phyleischa Owen

Title

Manager

Phone

(407) 312-4613

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

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

• James Jonathan Inda, OTR/L

  • Occupational Therapist
  • New Smyrna Beach, FL
  • NPI 1871538454

  FL, Occupational Therapist

  Medicare reassignment NPD
• Henry Martin Lamplough, D.P.T.

  • Physical Therapist
  • Sanford, FL
  • NPI 1427102359

  FL, Physical Therapist

  Medicare reassignment NPD
• Nicole Allen, D.C.

  • Chiropractor
  • New Smyrna, FL
  • NPI 1245582386
  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1700640901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 ENGRAM RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321694713",
            "telephone_number": "904-251-5546",
            "fax_number": "407-703-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6341 ENGRAM RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321694713",
            "telephone_number": "904-251-5546",
            "fax_number": "407-703-9754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Club House Cir",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321687967",
            "country_code": "US",
            "telephone_number": "386-235-4412",
            "fax_number": "407-605-0699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-06-18",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "PHYLEISCHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-312-4613"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara L Clevenger, RD
• Mary Lou Clime
• Charles Trevon Clow, PH.D., LMHC
• Coast Florida P.a.
• Coastal Care Home Medical, Inc
• Antony B Codrington
• Kelly Ann Cohen, APRN
• Allison B Coleman
• Cheryl Lou Coleman, MA, CCC-SLP
• Joshua Chase Coleman, DMD

• Physical Therapist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.