Coastal Specialty Physical Therapy, Inc in San Diego, CA

Coastal Specialty Physical Therapy, Inc is a medicare enrolled "Clinic/center - Physical Therapy" provider in San Diego, California. Their current practice location is 12625 High Bluff Dr Ste 107, San Diego, California. You can reach out to their office (for appointments etc.) via phone at (858) 353-7702.

Coastal Specialty Physical Therapy, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Coastal Specialty Physical Therapy, Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962100180.

Contact Information

	Coastal Specialty Physical Therapy, Inc
	12625 High Bluff Dr Ste 107, San Diego, CA 92130-2053
	(858) 353-7702
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Coastal Specialty Physical Therapy, Inc
Type	Facility
Speciality	Clinic/center - Physical Therapy
Location	12625 High Bluff Dr Ste 107, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962100180
Provider Enumeration Date: 02/16/2023
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4587023916
Enrollment ID: O20230703002675

Medical Identifiers

Medical identifiers for Coastal Specialty Physical Therapy, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962100180	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	Secondary
261QP2000X	Clinic/center - Physical Therapy	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Coastal Specialty Physical Therapy, Inc acts as a billing entity for following providers:

Provider Name	Crystal Hazelton
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1689851206 PECOS PAC ID: 2163505330 Enrollment ID: I20080211000671

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coastal Specialty Physical Therapy, Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Coastal Specialty Physical Therapy, Inc 12625 High Bluff Dr Ste 107, San Diego, CA 92130-2053 Ph: (858) 353-7702	Coastal Specialty Physical Therapy, Inc 12625 High Bluff Dr Ste 107, San Diego, CA 92130-2053 Ph: (858) 353-7702

Coastal Specialty Physical Therapy, Inc - Medicare in San Diego, CA