Coastal Orthotics and Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

COASTAL ORTHOTICS AND PROSTHETICS LLC

Practice address

1100 C M Fagan Dr
Suite 100
Hammond, LA 70403-5963

Phone

(985) 345-9940

Fax

(985) 345-9941

NPI assigned

Feb 15, 2010

Organization subpart

Yes

Parent organization

COASTAL ORTHOTICS AND PROSTHETICS LLCAs reported in NPPES

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

Authorized official

Name

Sean W Northey, CP

Title

Owner

Phone

(985) 345-9940

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Coastal Orthotics and Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Mandeville, LA
  • NPI 1932101227

  8224241864

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Coastal Orthotics and Prosthetics LLC2 organizations share this tax ID, including this one

Part of

Coastal Orthotics and Prosthetics LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Orthotics and Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Mandeville, LA
  • NPI 1932101227
  NPD tax ID

Locations

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1851613087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 C.M. FAGAN DR",
            "address_2": "SUITE 100",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-345-9940",
            "fax_number": "985-345-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 C M FAGAN DR",
            "address_2": "SUITE 100",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035963",
            "telephone_number": "985-345-9940",
            "fax_number": "985-345-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHOTICS AND PROSTHETICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL ORTHOTICS AND PROSTHETICS LLC",
        "enumeration_date": "2010-02-15",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "NORTHEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-345-9940",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128337",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Clawson
• Bryan C. Clawson, DDS
• Clayton J. Charbonnet Jr,D.D.S.,a.P.O.
• Amanda Evangeline Cleland
• Shelbi Ann Cline
• Bobbie-Jean Cobb, R.PH.
• Breanna Nicole Cockerham, LPN
• Megan Hughes Cockerham, BCBA, LBA
• Cherie Knieper Cody, MSN,APRN, C-FNP
• Colleen Lynette Cofield, LCSW

• Prosthetic/Orthotic Supplier in Hammond, LA
• Providers in Hammond, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.