Coastal Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COASTAL REHABILITATION LLC

Practice address

229 Southwood Dr
Panama City, FL 32405-4905

Phone

(850) 481-1117

Fax

(850) 373-4858

NPI assigned

Sep 13, 2024

Last updated

Jan 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan Scott Lance, PT, DPT, CLT, MLD-PPNPI 1154157287

Title

Owner/Ceo

Phone

(504) 811-1178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Jordan Scott Lance, PT

  • Physical Therapist
  • Panama City, FL
  • NPI 1154157287
  Medicare reassignment Care Compare group NPD Authorized official
• Dana Michelle Hutchinson, PT

  • Physical Therapist
  • Panama City Beach, FL
  • NPI 1053543637
  Medicare reassignment Care Compare group NPD
• Mackenzie Dummer

  • Occupational Therapist
  • Navarre, FL
  • NPI 1366060782
  Medicare reassignment NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1881420917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 LAGOON DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324085509",
            "telephone_number": "850-257-6464",
            "fax_number": "850-248-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SOUTHWOOD DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054905",
            "telephone_number": "850-481-1117",
            "fax_number": "850-373-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "504-811-1178",
        "authorized_official_credential": "PT, DPT, CLT, MLD-PP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Layne Cockrell
• Joy Foley Coker
• Cole Vision Corporation (Sears Optical #C0099)
• Cassie Cole, OTR/L

• Physical Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.

Verify at the official NPI Registry.