Coastal Home Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6522 Issued in SC

Legal business name

COASTAL HOME THERAPY LLC

Doing business as

Coastal Home Therapy

Practice address

1509 Deer Park LN
Surfside Beach, SC 29575-5245

Phone

(843) 455-9162

Fax

(843) 595-4686

NPI assigned

Sep 29, 2015

Last updated

Sep 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Scott Brown, PTNPI 1508242868

Title

Physical Therapist/ Owner

Phone

(843) 455-9162

Specialties & licenses 1

Addresses

Other names 1

• Coastal Home Therapy Doing business as

Practitioners 1

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.

• Travis Scott Brown, PT

  • Physical Therapist
  • Columbia, SC
  • NPI 1508242868
  NPD (past) Authorized official

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1730559071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DEER PARK LN",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755245",
            "telephone_number": "843-455-9162",
            "fax_number": "843-595-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 DEER PARK LN",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755245",
            "telephone_number": "843-455-9162",
            "fax_number": "843-595-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HOME THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "843-455-9162",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "6522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Home Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond E Cleary III, DDS
• Janet Clifford, PT
• Coastal Calm Psychiatry Associates LLC
• Coastal Carolina Behavioral Health, Inc.
• Coastal Carolina Behavioral Health, Inc.
• Coastal Podiatry Associates PA
• Coastal Vision Center
• James M Coker, O.D
• Veronica Patricia Collings, D.C.
• Benjamin Hampton Collins, DMD

• Physical Therapy Clinic/Center in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.