COASTAL CARE PHYSICAL THERAPY INC — NPI 1023528841 (Licensed & Credentialed Rehabilitation Practitioner in SELBYVILLE, DE)

CMS-1500 Box 24J / 33a • NPI

1023528841

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

225400000X

Licensed & Credentialed Rehabilitation Practitioner

Box 32 Service Location & ZIP+4

6 ELLIS ALLEY, UNIT 6, SELBYVILLE, DE, 19975

Official NPPES Practice Location

Practice Phone & Referral Fax

(302) 524-8333

Fax: (302) 524-8891

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023528841 (COASTAL CARE PHYSICAL THERAPY INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1023528841` (NPI-2 Organization / Facility)
Provider / Legal Name	COASTAL CARE PHYSICAL THERAPY INC
Plain-English Specialty	Licensed & Credentialed Rehabilitation Practitioner NUCC Code: `225400000X` (Rehabilitation Practitioner)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6 ELLIS ALLEY, UNIT 6, SELBYVILLE, DE, 19975
Practice Telephone / Fax	Tel: (302) 524-8333 \| Fax: (302) 524-8891
Administrative Mailing Address	37197 E STONEY RUN, SELBYVILLE, DE, 19975-4325
Enumeration & Last Sync	Enumerated: 2017-10-06 \| CMS Record Updated: 2025-09-16
Authorized Official	BIRAO MARYCYST (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6 ELLIS ALLEY, UNIT 6, SELBYVILLE, DE, 19975

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Plain-English Taxonomy & CMS Crosswalk (225400000X)

What Does Taxonomy Code 225400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225400000X translates to:
"Licensed & Credentialed Rehabilitation Practitioner"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Rehabilitation Practitioner for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COASTAL CARE PHYSICAL THERAPY INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225400000X` — Rehabilitation Practitioner Plain English: Licensed & Credentialed Rehabilitation Practitioner	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COASTAL CARE PHYSICAL THERAPY INC (NPI #1023528841)