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Contact Information

COASTAL REHAB, LLC
5703 GULF TECH DR
OCEAN SPRINGS, MS39564-8200
 Phone: 228-875-5447
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for COASTAL REHAB, LLC

NPI Number 1518026921
LBN Legal business name COASTAL REHAB, LLC
Authorized official MARK AULTMAN - (DIRECTOR OF BUSINESS DEVELOPMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
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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