COASTLINE PHYSICAL THERAPY & PERFORMANCE (NPI# 1104358365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104358365 |
| Entity Type | Organization |
| Organization Name | COASTLINE PHYSICAL THERAPY & PERFORMANCE |
| Practice Address |
444 Dunham Point Rd Deer Isle ME 04627 |
| Mailing Address |
Po Box 604 Deer Isle ME 04627-0604 |
| Practice Telephone | 2077451292 |
| Mailing Telephone | 2077451292 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | DR. HOLLAN OLIVER (OWNER) |
| Authorized Official Telephone | 2077451292 |
| Authorized Official Credential | DPT, OCS, SCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT4816 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
444 DUNHAM POINT RD |
| City | DEER ISLE |
| State | ME |
| Zip Code | 04627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710165857 | Elinor A Spencer | Occupational Therapist | Route 15 587 No Deer Isle Rd, Island Nursing Home, Deer Isle, ME 04627 | 2008-01-31 |
| 1003099540 | Darby S French | Speech-Language Pathologist | 35 Campbell View Drive, Deer Isle, ME 04627 | 2007-12-06 |
| 1326241530 | Lori Marie Ingram | Occupational Therapy Assistant | 587 North Deer Isle Rd, Island Nursing Home, Deer Isle, ME 04627 | 2007-06-06 |
| 1720062987 | Memorial Ambulance Corps. Isle Au Haut - Stonington - Deer Isle | Ambulance | 77 Sunshine Rd, Deer Isle, ME 04627 | 2005-12-01 |
| 1669637120 | Tanya Lee Ruzyckij | Occupational Therapy Assistant | 587 N Deer Isle Rd, Deer Isle, ME 04627 | 2008-07-24 |
| 1609353721 | Caitlin Johnston | Physical Therapy Assistant | 549 Reach Rd, Deer Isle, ME 04627-3342 | 2018-07-21 |
| 1841437340 | Elizabeth Anne Duncombe | Social Worker | 56 Reach Rd, Deer Isle, ME 04627-3344 | 2009-01-21 |
| 1144409210 | Amy Jo Vandorn | Social Worker | 249 N Deer Isle Rd, Deer Isle-stonington Elementary School, Deer Isle, ME 04627-3432 | 2007-10-25 |
| 1861481384 | Island Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 587 N Deer Isle Rd, Deer Isle, ME 04627-3438 | 2005-10-18 |
| 1134618069 | Ruth Helen Eaton | Occupational Therapist | 587 N Deer Isle Rd, Deer Isle, ME 04627-3438 | 2018-05-07 |
| Find all providers in zip 04627 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733860 | Brooke Flaherty | Physical Therapist | 8-10 Hill Way, Cape Elizabeth, ME 04107 | 2020-06-08 |
| 1447790415 | Dominique Mclaughlin | Physical Therapist | 11 Bowdoin Mill Is # 220, Topsham, ME 04086-1263 | 2017-02-24 |
| 1063622702 | Orthopaedic Physical Therapy Associates | Physical Therapist | 360 Us Route 1, Scarborough, ME 04074-9772 | 2007-05-23 |
| 1821136425 | Kathryn Snow | Physical Therapist | 280 West St, Rockport, ME 04856 | 2007-02-03 |
| 1932247533 | Trevor Mills | Physical Therapist | 643 Rockland St Ste C, Rockport, ME 04856-5320 | 2007-02-03 |
| 1851304984 | Allied Physical Therapy | Physical Therapist | 128 Middle St, Farmington, ME 04938-6937 | 2006-08-13 |
| 1295788750 | Laurian C Sherman | Physical Therapist | 162 Old County Rd, Rockport, ME 04856-4005 | 2006-05-18 |
| 1679554471 | Jeffrey Dean Emde | Physical Therapist | 329 Maine St., Brunswick, ME 04011-3040 | 2005-11-08 |
| 1790766780 | Scott Nelson Miller | Physical Therapist | 44 Bouchard Dr, Brunswick, ME 04011-2823 | 2005-11-08 |
| 1659934743 | Matthew Devine | Physical Therapist | 33 Sewall St, Portland, ME 04102-2603 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.