Organization
COASTAL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY POULOS (OWNER)
(910) 799-4199
Entity
Organization
Contact information
Practice address
3114 RANDALL PKWY STE 2, WILMINGTON, NC 28403-2590
(910) 799-4199
Mailing address
3114 RANDALL PKWY STE 2, WILMINGTON, NC 28403-2590
(910) 799-4199
(910) 799-1616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238Q
BLUE CROSS BLUE SHIELD
NC
05
—
7210529
—
NC
Enumeration date
02/21/2006
Last updated
04/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up