COASTAL PEDIATRIC THERAPIES, LLC


Address: 413 W Montgomery Xrd Ste 102, Savannah, GA 31406-4321
Phone: 9123544474

COASTAL PEDIATRIC THERAPIES, LLC (NPI# 1205338944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205338944
Entity Type Organization
Organization Name COASTAL PEDIATRIC THERAPIES, LLC
Practice Address 413 W Montgomery Xrd Ste 102
Savannah
GA 31406-4321
Practice Telephone 9123544474
Practice Fax Number 9123544443
Mailing Telephone 9123544474
Mailing Fax Number 9123544443
Enumeration Date 2018-03-07
Last Update Date 2018-11-05
Authorized Official Name MRS. ANNA F SALTER (CO-OWNER)
Authorized Official Telephone 9123544474
Authorized Official Credential CCC-SLP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2251P0200X Physical Therapist
Specialization: Pediatrics
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225XP0200X Occupational Therapist
Specialization: Pediatrics
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
Y 2081P0010X Physical Medicine & Rehabilitation
Specialization: Pediatric Rehabilitation Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 413 W MONTGOMERY XRD STE 102
City SAVANNAH
State GA
Zip Code 31406-4321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760540355 Jane Yaklin Specialist 413 W Montgomery Xrd Ste 102, Savannah, GA 31406-4321 2006-12-05
1891293593 Jelly Beans Physical Therapy, LLC Physical Therapist 413 W Montgomery Xrd Ste 102, Savannah, GA 31406-4321 2018-01-28
1558726661 Anna Ferraro Salter Speech-Language Pathologist 413 W Montgomery Xrd Ste 102, Savannah, GA 31406-4321 2015-12-17
1912305541 Kathryn Feldman Forman Speech-Language Pathologist 413 W Montgomery Xrd Ste 102, Savannah, GA 31406-4321 2014-12-14
1023151214 Rebecca Susan Brown Speech-Language Pathologist 413 W Montgomery Xrd Ste 102, Savannah, GA 31406-4321 2007-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891324042 Magnolia Home Health, LLC Dba Home Instead Senior Care Homemaker 6709 Forest Park Drive, Suite B, Savannah, GA 31406 2020-04-08
1831737949 Sumona Mitchell Specialist 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 2019-12-19
1295373090 Gateway Behavioral Health Services Community/Behavioral Health 2121 East Derenne Ave, Savannah, GA 31406 2019-12-12
1114578820 Kenya Burns Technician 6 Castle Ct, Savannah, GA 31406 2019-09-24
1841755287 Southside Emergency Dental Center LLC Dentist 10515 White Bluff Rd., Savannah, GA 31406 2019-02-08
1639651003 Rachael Putman Physical Therapist 37 W Fairmont Ave Suite 323, Savannah, GA 31406 2018-09-03
1417439852 Happy Kids Therapies, LLC Physical Therapist 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 2018-09-01
1487146619 Georgia Occmed LLC Clinic/Center 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 2018-06-04
1023517505 Antioch Vascular Center, LLC Surgery 9104 Middleground Road, Suite 2, Savannah, GA 31406 2018-02-09
1518496116 Janay C Russell Counselor 6711 Forest Park Drive, Savannah, GA 31406 2017-06-07
Find all providers in zip 31406

Taxonomy Information

Taxonomy Code 2081P0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pediatric Rehabilitation Medicine

Taxonomy Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417093717 Carol Cobb Physical Medicine & Rehabilitation 2315 Old Northpark Ln, Alpharetta, GA 30004-3628 2007-01-30
1518012848 Pediatric Therapy Services Physical Medicine & Rehabilitation 11660 Alpharetta Hwy Ste 540, Roswell, GA 30076 2007-01-25
1295707107 Jeannie Blom Physical Medicine & Rehabilitation 2722 N Decatur Rd, Decatur, GA 30033-5910 2006-02-03
1215926316 Rochelle Cotliar Physical Medicine & Rehabilitation 100 Lacy St Nw, Suite 150, Marietta, GA 30060-1113 2005-10-20
1720609100 Kimberly Bray Physical Medicine & Rehabilitation 534 Owl Creek Dr, Powder Springs, GA 30127-6285 2020-04-27
1043856479 Anna Tomes Physical Medicine & Rehabilitation 3538 Old Milton Pkwy, Alpharetta, GA 30005-4459 2019-11-20
1952967986 Joshua Walker Mcwhirter Physical Medicine & Rehabilitation 2450 Atlanta Hwy Ste 701, Cumming, GA 30040-1255 2019-05-15
1841581097 Udayan M. Kulkarni Physical Medicine & Rehabilitation 1001 Johnson Fy Rd Ne, Scottish Rites Hospital, Atlanta, GA 30342-1605 2011-04-22
1467658971 Elizabeth Anne Poplawski Physical Medicine & Rehabilitation 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 2007-06-22

Competitor

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City SAVANNAH
Zip Code 31406

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Dataset Information

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.

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