Organization Active NPI

Coastal Kinetics LLC

  • Home Health Agency
  • St Petersburg, FL
National Provider Identifier
1811875826
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COASTAL KINETICS LLC
Practice address
1864 72ND Ave NE
St Petersburg, FL 33702-4714
Phone
(832) 671-1775
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Alexander Lam, DPTNPI 1710352166
Title
Owner, Physical Therapist
Phone
(727) 318-2146

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1864 72ND Ave NE
St Petersburg, FL 33702-4714

Mailing address

701 77TH Ave N Unit 55042
Saint Petersburg, FL 33702-5299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919002962 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416451521 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

701 77th Ave N
Unit 55042
Saint Petersburg, FL 33702
Phone (727) 318-2146

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": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1811875826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 77TH AVE N UNIT 55042",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337025299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 72ND AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024714",
            "telephone_number": "832-671-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL KINETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "727-318-2146",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.