Coastal Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COASTAL PHYSICAL THERAPY, INC.

Doing business as

Coastal Physical Therapy, Inc.

Practice address

5725 Ralston St Ste 103
Ventura, CA 93003-6053

Phone

(805) 658-6964

Fax

(805) 477-0370

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By 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

Mr. Kirk P.M. Richards, PTNPI 1609872639

Title

President

Phone

(805) 658-6964

Specialties & licenses 1

Addresses

Other names 1

• Coastal Physical Therapy, Inc. Doing business as

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.

• Kirk PM Richards, PT

  • Specialist
  • Ventura, CA
  • NPI 1609872639
  Authorized official Same address or phone

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932327830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 RALSTON STREET SUITE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-658-6964",
            "fax_number": "805-477-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 RALSTON ST STE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036053",
            "telephone_number": "805-658-6964",
            "fax_number": "805-477-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "P.M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-658-6964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Physical Therapy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CMHS Hospice
• Coastal Chiropractic
• Coastal Dysphagia Diagnostics & Speech Pathology PC
• Coastal Pharmaceutical Services Corporation (InfusionRX)
• Coastal Physical Therapy Inc
• Coastal Radiation Oncology Medical Group Inc
• Coastal View Healthcare Center LLC (Coastal View Healthcare Center)
• Miguel Cobian, PHARM. D
• Cocain Chiropractic Corporation
• Robert V Cocain, DC

• Physical Therapy Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.