Coast Physio LLC
Clinic/Center (Physical Therapy)

Address: 140 Metedeconk Rd, Brick, NJ 08723-5442
Phone: 6463219579

Coast Physio LLC (NPI# 1356949317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1356949317
Entity Type Organization
Organization Name COAST PHYSIO LLC
Practice Address 140 Metedeconk Rd
Brick
NJ 08723-5442
Practice Telephone 6463219579
Mailing Address 140 Metedeconk Rd
Brick
NJ 08723-5442
Mailing Telephone 6463219579
Authorized Official Name Kimberly D Nielsen (OWNER)
Authorized Official Telephone 6463219579
Authorized Official Credential PT
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-13
Last Update Date 2020-10-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QP2000X Clinic/Center · Physical Therapy Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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Office Location

Street Address 140 METEDECONK RD
City BRICK
State NJ
Zip Code 08723-5442

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Competitor

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City BRICK
Zip Code 08723

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.