Coastal Physical Therapy & Sports Medicine Llc

LBN: Coastal Physical Therapy & Sports Medicine Llc
Coastal Physical Therapy & Sports Medicine Llc is an health care organization with primary practice located at 1502 Pemberton Dr Ste C , Salisbury MD 21801-2475. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Coastal Physical Therapy & Sports Medicine Llc can be contacted via phone (410) 749-5050, or through Bails, William Jeremy via phone (410) 749-5050.

Contact Information

Primary practice address
1502 Pemberton Dr Ste C Salisbury MD 21801-2475
Fax: (410) 749-5057
Website:
Authorized official contact:
Name: Bails, William Jeremy MSPT, DPT

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 20434 Maryland

Profile Details

NPI number 1699937839
LBN Legal business name Coastal Physical Therapy & Sports Medicine Llc
DBA Doing business as
Authorized official Bails, William Jeremy MSPT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2008
Last updated Jan 20th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699937839 NPPES
Maryland Other 143839ZCMG MEDICARE GROUP PROVIDER NUMBER

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