NPIMap

Organization Active NPI

Coastal Movement Specialists LLC

Doing business as Coastal Movement Specialists

  • Physical Therapy Clinic/Center
  • Johns Island, SC
National Provider Identifier
1780293837
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COASTAL MOVEMENT SPECIALISTS LLC
Doing business as
Coastal Movement Specialists
Practice address
2052 River Rd Ste E
Johns Island, SC 29455-8805
Phone
(843) 900-6202
Fax
(843) 574-8858
NPI assigned
Jul 24, 2020
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Kristen Thomas, PT, DPT
Title
Co-Owner/PT
Phone
(317) 752-4580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2052 River Rd Ste E
Johns Island, SC 29455-8805

Mailing address

2052 River Rd Ste E
Johns Island, SC 29455-9043
Phone (843) 900-6202

Other names 1

  • Coastal Movement Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201029000115 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133547425 Receives reassigned benefits from 11 practitioners
Practice locations: Johns Island, SC

National Provider Directory

National Provider Directory

Locations

151 Rutledge Ave
#A
Charleston, SC 29425
Phone (843) 792-3326

2052 River Rd
Ste E
Johns Island, SC 29455
Phone (843) 900-6202

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1780293837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RIVER RD STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294559043",
            "telephone_number": "843-900-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RIVER RD STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558805",
            "telephone_number": "843-900-6202",
            "fax_number": "843-574-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MOVEMENT SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CO-OWNER/PT",
        "authorized_official_telephone_number": "317-752-4580",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Movement Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Movement Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.