Central Coast Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CENTRAL COAST PHYSICAL THERAPY INC

Practice address

135 NW 3Rd St
Newport, OR 97365-3640

Phone

(541) 265-2818

Fax

(541) 265-3274

NPI assigned

Aug 12, 2006

Last updated

Dec 12, 2007By 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

Debbie Hillman

Title

Office Manager

Phone

(541) 265-2818

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 5

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.

• Karen P Smith, PT

  • Physical Therapist
  • Newport, OR
  • NPI 1447262068
  Medicare reassignment NPD
• Terry Ellen Brady, PT

  • Orthopedic Physical Therapist
  • Newport, OR
  • NPI 1174764450
  NPD (past)
• John Wayland Folk, PT

  • Physical Therapist
  • Newport, OR
  • NPI 1366693889
  NPD (past)
• Kathleen May Kelliher, PHYSICAL THERAPIST

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1265714935
  NPD (past)
• Martha M Watry, PT, CERT .M.D.T.

  • Physical Therapist
  • Reno, NV
  • NPI 1497736433
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1750393385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NW 3RD ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653640",
            "telephone_number": "541-265-2818",
            "fax_number": "541-265-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NW 3RD ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653640",
            "telephone_number": "541-265-2818",
            "fax_number": "541-265-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-265-2818"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228867",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca F Carroll, LPC
• H. Joshua Carson, M.D.
• Xiomara Michelle Castillo Rivera, MD
• Timi Jo Castle
• Central Coast Internal Medicine, P.C.
• Traci Ceska, PSS
• Douglas Alan Chadwick, DDS
• Corie Michelle Charnley, RN, FNP-C
• William Lloyd Cheers III
• Donna Eda Chevrier, CADCI

• Physical Therapy Clinic/Center in Newport, OR
• Providers in Newport, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.