Coastal Concierge Physical Therapy LLC
NPI 1609483361ActiveOrganization· Physical Therapist· Jacksonville, FL
Physical Therapist in Jacksonville, Florida, registered in NPPES in September 2020. The authorized official on file is Dana Brown, Sole Mbr.
Overview
| NPI | 1609483361 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2020 |
| Last updated in NPPES | Sep 28, 2020 |
| Certified by provider | Sep 21, 2020 |
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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