Amed-Coastal Therapists, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

617670000 Issued in TX

Legal business name

AMED-COASTAL THERAPISTS, INC

Practice address

6501 Memorial Dr
Texas City, TX 77591-4015

Phone

(409) 935-1393

Fax

(409) 935-3844

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Walter F Crowder

Title

Ceo

Phone

(409) 935-1234

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1962489310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 104",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775919116",
            "telephone_number": "409-935-7925",
            "fax_number": "409-935-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 MEMORIAL DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914015",
            "telephone_number": "409-935-1393",
            "fax_number": "409-935-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMED-COASTAL THERAPISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-935-1234"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "617670000",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "520220000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021732501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0076AW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambassador Health Care of Brady Inc
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• Amed-Medical,Inc.
• King Kobe Ampofo, DO
• Elijah Aidan Ancira
• Charlene H Anderson, RN
• Paul R Anderson, PHARMACIST

• Rehabilitation Clinic/Center in Texas City, TX
• Providers in Texas City, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.