Active NPI
Coastal Kinetics LLC
- Home Health Agency
- St Petersburg, FL
National Provider Identifier
1811875826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Lam, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- St Petersburg, FL
- NPI 1710352166
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
- Coastal Anesthesia Group LLC
- Coastal Chiropractic
- Coastal Dental Aesthetics Enterprise, PLLC
- Coastal Foot & Ankle Specialists LLC
- Coastal Interventional Pain Management LLC
- Coastal Mental Health Center Inc
- Coastal Neurological Institue of Florida
- Coastal Pulmonary & Critical Care PLC
- Coastal Quality Care LLC
- Janet Elizabeth Coates
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.