Organization
COASTLINE THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY FAYE BAGEANT (OWNER, CFO)
(910) 461-9168
Entity
Organization
Contact information
Practice address
3901 WRIGHTSVILLE AVE STE 120, WILMINGTON, NC 28403-6256
(910) 679-8385
(910) 679-8387
Mailing address
1468 EASTBOURNE DR, WILMINGTON, NC 28411-8431
(910) 461-9168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
10745
NC
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
12318
NC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
01/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us