Active NPI
Coastside Physical Therapy
- Physical Therapist
- Half Moon Bay, CA
National Provider Identifier
1811971674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- COASTSIDE PHYSICAL THERAPY
- Doing business as
- Coastside Physical Therapy
- Practice address
- 799 Main St
Suite D
Half Moon Bay, CA 94019-1996 - Phone
- (650) 726-6378
- Fax
- (650) 726-6389
- NPI assigned
- Dec 5, 2005
- Last updated
- Oct 8, 2007
- 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
- Anne Lasson
- Title
- Vice Presdent
- Phone
- (408) 570-0510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
799 Main St
Suite D
Half Moon Bay, CA 94019-1996
Mailing address
PO Box 612260
San Jose, CA 95161-2260
Phone (877) 325-2776
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1321715 | Other | CA | CIGNA |
| 8156597 | Other | CA | AETNA |
| ZZZ20234Z | Other | CA | BLUESHIELD |
Other names 1
- Coastside Physical Therapy
National Provider Directory
National Provider Directory- Tax ID family
- Coastside Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Pacifica, CA
- NPI 1821072067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191801600000",
"number": "1811971674",
"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": "799 MAIN ST",
"address_2": "SUITE D",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940191996",
"telephone_number": "650-726-6378",
"fax_number": "650-726-6389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTSIDE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-05",
"last_updated": "2007-10-08",
"status": "A",
"authorized_official_last_name": "LASSON",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "VICE PRESDENT",
"authorized_official_telephone_number": "408-570-0510"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1321715",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8156597",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "ZZZ20234Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Coastside Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.