Coastside Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COASTSIDE PHYSICAL THERAPY

Practice address

443 Grand Ave
South San Francisco, CA 94080-3635

Phone

(650) 588-9668

Fax

(650) 588-3230

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Anne Lasson

Title

Vice President

Phone

(408) 570-0510

Specialties & licenses 1

Addresses

Other names 1

• Coastside Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1801878384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951612260",
            "telephone_number": "877-325-2776",
            "fax_number": "408-945-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 GRAND AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803635",
            "telephone_number": "650-588-9668",
            "fax_number": "650-588-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTSIDE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "LASSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-570-0510"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Ann Clements, RN NP
• Dana Stiles Clutter, M.D.
• CHI K Co, M.D.
• Christabelle Co, MD
• Coastside Clinical Laboratory
• Suzanne Kaye Coberly
• Michael Andrew Cohen, FNP-C
• Sara G Cohen
• Maria-Renee J Coldagelli, MS LCGC
• Color Diagnostics, LLC

• Physical Therapist in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.