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Contact Information

COAST PHYSICAL THERAPY, INC
500 N. WASHINGTON AVE
STE 107
TITUSVILLE, FL32796
 Phone: 321-269-0800
 Fax: 321-383-0404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for COAST PHYSICAL THERAPY, INC

NPI # 1053483685
LBN Legal business name COAST PHYSICAL THERAPY, INC
Authorized official MICHAEL JOHNSON - (OWNER/PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 02/22/2024 - About 2 years ago
Identifiers
FL Medicaid 886365200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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