Coastline Imaging LLC
NPI 1679802599ActiveOrganization· Physical Therapist· Melbourne, FL
Physical Therapist in Melbourne, Florida, registered in NPPES in December 2009. The authorized official on file is Danette Michelle Lauricia, Credentialing Manager.
Overview
| NPI | 1679802599 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 24, 2009 |
| Last updated in NPPES | Oct 11, 2022 |
| Certified by provider | Apr 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapy Assistant | 224Z00000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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