Cocoa River Therapy, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

COCOA RIVER THERAPY, LLC

Practice address

700 S 29TH St
Fort Pierce, FL 34947-3626

Phone

(786) 279-1134

NPI assigned

Apr 18, 2017

Last updated

Apr 18, 2017By 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

Fanny Alfonso

Title

Director of Finance

Phone

(786) 279-1134

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1952835712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NE MIAMI GARDENS DR STE 157",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035",
            "telephone_number": "786-279-1134",
            "fax_number": "786-513-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 29TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349473626",
            "telephone_number": "786-279-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCOA RIVER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "FANNY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "786-279-1134"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CMS Ft. Pierce
• Coastal Drip Mobile IV
• Coastal Quality Assisted Living, LLC
• Coastal Wellness and Physiotherapy, LLC
• Daniel Cobbina
• Marc Ira Cohen, PHARMD
• Nathan Emanuel Cohen
• Erainer Denise Coira, INTERN
• Rocquita Coke
• Antoine Coleman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.