Coastal Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COASTAL PHYSICAL THERAPY INC

Practice address

106 Shoppers Way
Ste G
Brunswick, GA 31525

Phone

(912) 280-0600

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

C W Herndon

Title

President

Phone

(912) 280-0600

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Katie M Seymour, MPT

  • Physical Therapist
  • St Simons Island, GA
  • NPI 1124145800
  NPD (past)
• Gregory A Bailey, PT

  • Physical Therapist
  • Asheboro, NC
  • NPI 1780694976
  NPD (past)
• Elsa Marie Clark, MPT

  • Physical Therapist
  • Merritt Island, FL
  • NPI 1124208319
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982737748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315210357",
            "telephone_number": "912-280-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SHOPPERS WAY",
            "address_2": "STE G",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31525",
            "telephone_number": "912-280-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-280-0600"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Nursecare Inc.
• Coastal Orthopedic Products, Inc.
• Coastal Pain Center, LLC
• Coastal Periodontics, P.C.
• Coastal Pharmacare Inc
• Coastal Radiation Oncology Assoc.
• Coastal Ripple Effect LLC
• Angela Cobb
• Chelsea Cochran
• Patrick Hezekiah Cochran

• Physical Therapist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Physical Therapist in Georgia

• 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.