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:
Authorized official contact:
Name: Thompson, Matthew Karl Registered Physical Therapist (RPT)
Phone: (321) 951-2416
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962483370 | NPPES |
| Florida | Other | Y902W | BLUE CROSS/BLUE SHIELD GR |
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