| Coastal Rehabilitation Inc | |
|
701 Luke Street, Edenton, NC 27932 | |
| (252) 338-2114 | |
| (252) 338-2115 |
| Full Name | Coastal Rehabilitation Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 701 Luke Street, Edenton, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801913975 | NPI | - | NPPES |
| 7200037 | Medicaid | NC | |
| 7700350 | Medicaid | NC | |
| 0002W | Other | BCBS FACILITY | |
| 07763 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Rehabilitation Inc 101 Medical Drive, Elizabeth City, NC 27909-3361 Ph: (252) 338-2114 | Coastal Rehabilitation Inc 701 Luke Street, Edenton, NC 27932 Ph: (252) 338-2114 |
Anthony Vidal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1341 Paradise Rd, Edenton, NC 27932 Phone: 252-482-2538 | |
Naveen Kumar Palapogu, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 119 Mill Creek Rd, Edenton, NC 27932 Phone: 336-466-4768 | |
Jori Sienkiewicz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 323 Medical Arts Dr, Edenton, NC 27932 Phone: 540-729-2692 |