NPIMap

Organization Active NPI

Coastal Occupational Therapy

  • Early Intervention Provider Agency
  • Wilmington, NC
National Provider Identifier
1821467499
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
225X00000X Issued in NC
Legal business name
COASTAL OCCUPATIONAL THERAPY
Practice address
6770 Parker Farm Dr
Wilmington, NC 28405-3175
Phone
(910) 679-8385
Fax
(910) 679-8387
NPI assigned
Sep 24, 2015
Last updated
Sep 24, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
COASTAL THERAPY PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Shelley Maree Coe-Thomlinson, OT
Title
Occupational Therapist
Phone
(910) 679-8385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 225X00000X NC Primary

Addresses

Primary practice location

6770 Parker Farm Dr
Wilmington, NC 28405-3175

Mailing address

6770 Parker Farm Dr
Wilmington, NC 28405-3175
Phone (910) 679-8385

Other names 1

  • Coastal Therapy Partners Other name

National Provider Directory

National Provider Directory
Part of
Coastal Speech Center Inc

Locations

6770 Parker Farm Dr
Wilmington, NC 28405

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1821467499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 PARKER FARM DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053175",
            "telephone_number": "910-679-8385",
            "fax_number": "910-679-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 PARKER FARM DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053175",
            "telephone_number": "910-679-8385",
            "fax_number": "910-679-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL OCCUPATIONAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL THERAPY PARTNERS",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "COE-THOMLINSON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "MAREE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "910-679-8385",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": "225X00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Therapy Partners",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.