Organization Active NPI

Coastal Orthopedic Advantage LLC

  • Orthopedic Physical Therapist
  • Tarpon Springs, FL
National Provider Identifier
1891560215
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
COASTAL ORTHOPEDIC ADVANTAGE LLC
Practice address
1010 Peninsula Rd
Tarpon Springs, FL 34689-2940
Phone
(727) 487-2050
NPI assigned
Nov 15, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Bryan Sterling, PT, DPT, OCS, CSCSNPI 1083225544
Title
Owner/Physical Therapist
Phone
(724) 316-2269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

1010 Peninsula Rd
Tarpon Springs, FL 34689-2940

Mailing address

1010 Peninsula Rd
Tarpon Springs, FL 34689-2940
Phone (724) 316-2269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102000038 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618327818 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

30512 US Highway 19 N
Ste B
Palm Harbor, FL 34684
Phone (727) 717-6726

Practitioners & affiliated clinicians

Practitioners 1

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": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1891560215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PENINSULA RD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892940",
            "telephone_number": "724-316-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PENINSULA RD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892940",
            "telephone_number": "727-487-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHOPEDIC ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "724-316-2269",
        "authorized_official_credential": "PT, DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.