Coast PT & Aquatic Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COAST PT & AQUATIC REHAB LLC

Practice address

2641 W Harrison St
Coast PT & Aquatic Rehab @ Quest
Chicago, IL 60612-3420

Phone

(917) 215-3784

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Geraldine A Mohen, PT

Title

Director, Clinical Operations

Phone

(917) 215-3784

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1851761530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E SCHILLER ST",
            "address_2": "UNIT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606106162",
            "telephone_number": "917-215-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 W HARRISON ST",
            "address_2": "COAST PT & AQUATIC REHAB @ QUEST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123420",
            "telephone_number": "917-215-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST PT & AQUATIC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "MOHEN",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "917-215-3784",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalee Ann Coakley, D.D.S.
• Dennis Coalson
• Elam Coalson
• Devyn Coar
• Coast Management
• Lenard Vontrail Coaster
• Emma B. Coate, LCSW
• Bria Coates, M.D.
• Natalia A Coba
• Brendolyn Joyce Cobb-Oliver, OTR/L

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.