COASTAL PROSTHETICS AND ORTHOTICS, LLC (NPI# 1386270643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386270643 |
| Entity Type | Organization |
| Organization Name | COASTAL PROSTHETICS AND ORTHOTICS, LLC |
| Practice Address |
1008 First Colonial Rd Virginia Beach VA 23454-3071 |
| Mailing Address |
433 Network Sta Chesapeake VA 23320-3851 |
| Practice Telephone | 7578925300 |
| Practice Fax Number | 7578925303 |
| Mailing Telephone | 7578925300 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Authorized Official Name | BRITTANY SIVERD (ADMINISTRATIVE EXECUTIVE) |
| Authorized Official Telephone | 7578925300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093727117 | Coastal Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 11818 Rock Landing Dr, Ste#104, Newport News, VA 23606-4230 | 2006-08-13 |
| 1275178816 | Coastal Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 1134 N Road St, Elizabeth City, NC 27909-3322 | 2019-11-07 |
| 1164990040 | Coastal Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 433 Network Sta, Chesapeake, VA 23320-3851 | 2018-11-08 |
| Street Address |
1008 FIRST COLONIAL RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619076643 | Bruce E Johnson | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2006-09-22 |
| 1568627834 | Pulmonary Medicine of Virginia Beach, Inc. | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2008-07-25 |
| 1679734610 | Derik M Falk | Internal Medicine | 1008 First Colonial Rd, Ste 103, Virginia Beach, VA 23454-3071 | 2008-06-23 |
| 1194912618 | Rana J Khan | Internal Medicine | 1008 First Colonial Rd, Virginia Beach, VA 23454-3071 | 2007-09-28 |
| 1134293699 | Neurological Consultants of Virginia Beach | Psychiatry & Neurology | 1008 First Colonial Rd, #101, Virginia Beach, VT 23454 | 2006-11-17 |
| 1669572608 | Vasantha S Hathwar | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2006-09-22 |
| 1467552497 | Seth H Greenberg | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2006-09-22 |
| 1124127147 | William R Cooper | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1437605003 | Coastal Prosthetics and Orthotics,llc | Prosthetic/Orthotic Supplier | 1924 Landstown Centre Way Ste 109, Box # 13 for Mail, Virginia Beach, VA 23456-1624 | 2016-09-01 |
| 1902176563 | Coastline Medical, Inc. | Prosthetic/Orthotic Supplier | 509 Viking Dr Ste E, Virginia Beach, VA 23452-7323 | 2012-01-12 |
| 1215260062 | Rehab Specialists, Inc. | Prosthetic/Orthotic Supplier | 2005 Harvest Moon Ct., Virginia Beach, VA 23453-6675 | 2009-09-11 |
| 1417130055 | Victoria Marie Graziano | Prosthetic/Orthotic Supplier | 277 N Lynnhaven Rd, Suite 108, Virginia Beach, VA 23452-6963 | 2007-12-05 |
| 1457551236 | Branne LLC | Prosthetic/Orthotic Supplier | 5262 Fairfield Shopping Ctr, Virginia Beach, VA 23464-4212 | 2007-07-20 |
| 1326069477 | Healthy Feet Inc | Prosthetic/Orthotic Supplier | 3500 Virginia Beach Blvd Ste 100, Virginia Beach, VA 23452-4445 | 2006-07-22 |
| 1508821117 | Montagnas Shoes Inc | Prosthetic/Orthotic Supplier | 752 Independence Blvd, Montagnas Shoes, Virginia Beach, VA 23455 | 2006-04-18 |
| 1124006713 | Progressive Prosthetic & Orthopedic Services, Inc. | Prosthetic/Orthotic Supplier | 380 Cleveland Pl, Virginia Beach, VA 23462-6529 | 2006-01-04 |
| 1447523261 | Mid-atlantic Bracing, Inc. | Prosthetic/Orthotic Supplier | 4445 Corporation Ln, Virginia Beach, VA 23462-3262 | 2012-02-10 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on COASTAL PROSTHETICS AND ORTHOTICS, LLC.
| 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.