Central Coast Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CENTRAL COAST PHYSICAL THERAPY, INC.

Practice address

4070 West St
Cambria, CA 93428-3023

Phone

(805) 927-1055

NPI assigned

Feb 3, 2011

Last updated

Apr 11, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL COAST PHYSICAL THERAPY, INCAs reported in NPPES

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

Authorized official

Name

Lee Haskin, DPTNPI 1548201023

Title

Physical Therapist/Owner

Phone

(805) 462-1110

Specialties & licenses 1

Addresses

Tax ID family

Central Coast PT Inc3 organizations share this tax ID, including this one

Part of

Central Coast PT Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Central Coast Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Paso Robles, CA
  • NPI 1558678169
  NPD tax ID
• Central Coast Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Paso Robles, CA
  • NPI 1740424910
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Coast Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Paso Robles, CA
  • NPI 1740424910
  NPPES parent name

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.

• Lee Haskin, DPT

  • Physical Therapist
  • Paso Robles, CA
  • NPI 1548201023
  NPD (past) Authorized official

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1972809200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224429",
            "telephone_number": "805-462-1110",
            "fax_number": "805-462-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 WEST ST",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934283023",
            "telephone_number": "805-927-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST PHYSICAL THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL COAST PHYSICAL THERAPY, INC",
        "enumeration_date": "2011-02-03",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "HASKIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "805-462-1110",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Brovar
• Stacia Louise Burton, LCSW
• Cambria Community Healthcare District
• Emilee Noel Carr, LCSW
• Colleen Caspar, AGPCNP-C
• Donna Clipperton, MFT
• Coast Unified School District
• Paige Victoria Coffee, FNP STUDENT
• Community Health Centers of the Central Coast Inc (Community Health Centers Cambria)
• County of San Luis Obispo (San Luis Obispo County Drug and Alcohol Services)

• Physical Therapy Clinic/Center in Cambria, CA
• Providers in Cambria, 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 Apr 11, 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.