| Coast Physical Therapy, Inc | |
|
500 N. Washington Ave, Ste 107, Titusville, FL 32796 | |
| (321) 269-0800 | |
| (321) 383-0404 |
| Full Name | Coast Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 500 N. Washington Ave, Titusville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053483685 | NPI | - | NPPES |
| 886365200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Florida) | Primary |
| Provider Name | Mark Tonkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396817920 PECOS PAC ID: 0840469235 Enrollment ID: I20110825000028 |
| Provider Name | Michael Alan Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902320856 PECOS PAC ID: 2567738206 Enrollment ID: I20171024002012 |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Physical Therapy, Inc 500 N. Washington Ave, Ste 107, Titusville, FL 32796 Ph: (321) 269-0800 | Coast Physical Therapy, Inc 500 N. Washington Ave, Ste 107, Titusville, FL 32796 Ph: (321) 269-0800 |
Play Move Grow Pediatric Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2539 Norma St, Titusville, FL 32780 Phone: 321-446-0064 | |
Tamera Pope, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-269-5720 | |
Yamilet Caridad Santiago, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2210 Cheney Hwy, Titusville, FL 32780 Phone: 321-268-6200 | |
Karla Acevedo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4989 S Washington Ave, Titusville, FL 32780 Phone: 321-383-9606 | |
Mallikarjuna Prasad Suryamoni, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1550 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-269-2200 | |
Mrs. Joy Jennifer Grove, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1550 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-269-2200 |