Intracoastal Physical Therapy, Llc

LBN: Intracoastal Physical Therapy, Llc
Intracoastal Physical Therapy, Llc is an health care organization with primary practice located at 308 S Harbor City Blvd Suite B, Melbourne FL 32901-1500. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Intracoastal Physical Therapy, Llc can be contacted via phone (321) 951-2416, or through Thompson, Matthew Karl via phone (321) 951-2416.

Contact Information

Primary practice address
308 S Harbor City Blvd Suite B Melbourne FL 32901-1500
Phone: (321) 951-2416
Fax: (321) 951-2077
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Matthew Karl Registered Physical Therapist (RPT)
Phone: (321) 951-2416

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1962483370
LBN Legal business name Intracoastal Physical Therapy, Llc
DBA Doing business as
Authorized official Thompson, Matthew Karl Registered Physical Therapist (RPT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2005
Last updated Aug 22nd, 2020 - 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 1962483370 NPPES
Florida Other Y902W BLUE CROSS/BLUE SHIELD GR

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