Coastal Rehabilitation Inc

LBN: Coastal Rehabilitation Inc
Coastal Rehabilitation Inc is an health care organization with primary practice located at 101 Medical Drive , Elizabeth City NC 27909. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Coastal Rehabilitation Inc can be contacted via phone (252) 338-2114, or through Yager, Justyn J via phone (252) 338-2114.

Contact Information

Primary practice address
101 Medical Drive Elizabeth City NC 27909
Phone: (252) 338-2114
Fax: (252) 338-2115
Website:
Map and Directions
Authorized official contact:
Name: Yager, Justyn J DPT
Phone: (252) 338-2114

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1457418311
LBN Legal business name Coastal Rehabilitation Inc
DBA Doing business as
Authorized official Yager, Justyn J DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Sep 28th, 2022 - about 3 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 1457418311 NPPES
North Carolina Other 0002W BCBS FACILITY GROUP
North Carolina Other 07763 BCBS FACILITY GROUP
North Carolina Other 3120758 BCBS FACILITY GROUP
North Carolina MEDICAID 7207763 BCBS FACILITY GROUP
North Carolina Other 2120758 BCBS FACILITY GROUP
North Carolina MEDICAID 7200037 BCBS FACILITY GROUP

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