Coastal Wellness and Physiotherapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COASTAL WELLNESS AND PHYSIOTHERAPY, LLC

Practice address

1124 S 7TH St
Fort Pierce, FL 34950-9319

Phone

(772) 359-4750

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Leah Sweat, DPTNPI 1598040917

Title

Owner, Physical Therapist

Phone

(772) 359-4750

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: leahsweat@coastalwellnesspt.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Sweat, PT, DPT

  • Physical Therapist
  • Fort Pierce, FL
  • NPI 1598040917
  Medicare reassignment NPD Authorized official
• Morgan Rose Brewer

  • Physical Therapy Assistant
  • Fort Pierce, FL
  • NPI 1962249201
  Medicare reassignment NPD
• Cammie Jane Butzbach

  • Physical Therapist
  • Fort Pierce, FL
  • NPI 1548139223
  NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1902530264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 S 7TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349509319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S 7TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349509319",
            "telephone_number": "772-359-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL WELLNESS AND PHYSIOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "SWEAT",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "772-359-4750",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Leahsweat@coastalwellnesspt.com",
            "affiliation": "N",
            "address_1": "1124 S 7th St",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349509319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Diane Clute, ARNP
• Shenna Michelle Clyburn
• CMS Ft. Pierce
• Coastal Drip Mobile IV
• Coastal Quality Assisted Living, LLC
• Daniel Cobbina
• Cocoa River Therapy, LLC
• Marc Ira Cohen, PHARMD
• Nathan Emanuel Cohen
• Erainer Denise Coira, INTERN

• Physical Therapy Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.