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COASTAL PHYSICAL THERAPY NPI 1285609560


NPI Information

NPI: 1285609560
Provider Name: COASTAL PHYSICAL THERAPY
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
3114 RANDALL PKWY STE 2
WILMINGTON, NC
ZIP 28403
Phone: (910) 799-4199
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COASTAL PHYSICAL THERAPY is a pediatrics physical therapist in Wilmington, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. COASTAL PHYSICAL THERAPY NPI is 1285609560. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3114 RANDALL PKWY STE 2
WILMINGTON, NC
ZIP 28403-590
Phone: (910) 799-4199

The provider's authorized official is Cathy Poulos .
The authorized official title is Owner and has the following contact phone number (910) 799-4199.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
22251P0200XPhysical TherapistPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICARE UPINNORTH CAROLINA
27210529MEDICAIDNORTH CAROLINA
32339663MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
40238QOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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