COASTLINE IMAGING INC (NPI# 1679802599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679802599 |
| Entity Type | Organization |
| Organization Name | COASTLINE IMAGING INC |
| Other Organization Name | COASTLINE PHYSICAL THERAPY |
| Practice Address |
1341 Medical Park Dr Ste. 202 Melbourne FL 32901-3235 |
| Practice Telephone | 3212532700 |
| Mailing Telephone | 3212532700 |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |
| Authorized Official Name | MR. JAMES LEE EAKER (PRESIDENT) |
| Authorized Official Telephone | 3212532700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Coastline Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184805491 | Coastline Imaging Inc | Specialist | 2290 W Eau Gallie Blvd, Suite 108, Melbourne, FL 32935-3133 | 2007-11-15 |
| 1437330750 | Coastline Imaging Inc | Specialist | 1341 Medical Park Dr, Suite 101, Melbourne, FL 32901-3235 | 2007-11-15 |
| 1770576167 | Coastline Imaging Inc | Radiology | 2290 W Eau Gallie Blvd, Ste 104, Melbourne, FL 32935-3133 | 2005-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COASTLINE IMAGING INC | 2290 W Eau Gallie Blvd Ste 104, Melbourne, FL 32935-3134 |
| Street Address |
1341 MEDICAL PARK DR STE. 202 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293859 | Atlantic Orthopaedic Group Pa | Specialist | 1341 Medical Park Dr, Ste 201, Melbourne, FL 32901-3235 | 2005-05-23 |
| 1942678958 | Mark William Snavely | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2015-09-08 |
| 1861663239 | Andrew T Sander | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2008-03-13 |
| 1437330750 | Coastline Imaging Inc | Specialist | 1341 Medical Park Dr, Suite 101, Melbourne, FL 32901-3235 | 2007-11-15 |
| 1134262710 | Stephen Emile Theriault | Physician Assistant | 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | 2007-02-14 |
| 1568569531 | Terry David Johnson | Occupational Therapist | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2006-09-20 |
| 1265492938 | Russell Emmett Davis IIi | Occupational Therapist | 1341 Medical Park Dr, Melbourne, FL 32901-3235 | 2006-03-25 |
| 1740271717 | David W Ferguson | Physician Assistant | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2005-10-31 |
| 1093706079 | Margaret L Avilla | Physician Assistant | 1341 Medical Park Dr, 201, Melbourne, FL 32901-3235 | 2005-10-31 |
| 1447256284 | Josse Anthony Mazo-mayorquin | Psychiatry & Neurology | 1341 Medical Park Dr, Suite 101 A, Melbourne, FL 32901-3235 | 2005-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005559 | Premier Physical Therapy & Sports Medicine | Physical Therapist | 2222 S Harbor City Blvd Ste 530, Melbourne, FL 32901-5591 | 2020-02-19 |
| 1093289480 | Martin Gaston Garcia | Physical Therapist | 6300 N Wickham Rd Ste 133b, Melbourne, FL 32940-2029 | 2019-01-18 |
| 1063985638 | Miguel Urena | Physical Therapist | 5153 Cocoplum Ave, Melbourne, FL 32940-1400 | 2019-01-07 |
| 1356824569 | Kathy D Rohaley | Physical Therapist | 2755 N Wickham Rd, Melbourne, FL 32935-2226 | 2018-09-13 |
| 1164901534 | Jms Speech Therapy Services Inc | Physical Therapist | 1565 Fuji Dr, Melbourne, FL 32940-7129 | 2018-08-07 |
| 1467930263 | Paige Elise Hubert | Physical Therapist | 4450 W Eau Gallie Blvd Ste 7277, Melbourne, FL 32934-7213 | 2018-08-02 |
| 1538651757 | Tiffany L Lipsky | Physical Therapist | 801 E Hibiscus Blvd Ste 1, Melbourne, FL 32901-3252 | 2018-06-04 |
| 1033623590 | Josie's Pediatric Therapy Services P.a. | Physical Therapist | 5025 Smithfield, Melbourne, FL 32934-2808 | 2017-11-20 |
| 1669997888 | Holly Tanner | Physical Therapist | 205 E Nasa Blvd Ste 100, Melbourne, FL 32901-1953 | 2017-08-09 |
| 1366967705 | Sarah E Middleton | Physical Therapist | 3680 N Wickham Rd Ste B, Melbourne, FL 32935-2327 | 2017-08-07 |
| Find all providers in MELBOURNE | ||||
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| 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.