Coastal Physical Therapy
NPI 1346991114ActiveOrganization· Physical Therapist· Patchogue, NY
Physical Therapist in Patchogue, New York, registered in NPPES in January 2022. The authorized official on file is Russell Taveras, Owner.
Overview
| NPI | 1346991114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2022 |
| Last updated in NPPES | Jan 13, 2022 |
| Certified by provider | Jan 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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