Organization Active NPI

Coastal Hand Therapy and Rehabilitation Inc

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1740328368
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT4237 Issued in FL
Legal business name
COASTAL HAND THERAPY AND REHABILITATION INC
Practice address
14546 Saint Augustine Rd
Suite 405
Jacksonville, FL 32258-5468
Phone
(904) 318-8818
Fax
(904) 737-9850
NPI assigned
Feb 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Paul Anthony Friedlin, OT, CHTNPI 1417137266
Title
President
Phone
(904) 318-8818

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OT4237 FL Primary

Addresses

Primary practice location

14546 Saint Augustine Rd
Suite 405
Jacksonville, FL 32258-5468

Mailing address

3724 Cathedral Oaks PL N
Jacksonville, FL 32217-4210
Phone (904) 318-8818

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1740328368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 CATHEDRAL OAKS PL N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174210",
            "telephone_number": "904-318-8818",
            "fax_number": "904-737-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14546 SAINT AUGUSTINE RD",
            "address_2": "SUITE 405",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585468",
            "telephone_number": "904-318-8818",
            "fax_number": "904-737-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HAND THERAPY AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "FRIEDLIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-318-8818",
        "authorized_official_credential": "OT, CHT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OT4237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.