Coastline Physical Therapy LLC
NPI 1174380422 · Physical Therapist · Port Orange, FL
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastline Physical Therapy LLC is a Physical Therapist organization in Port Orange, FL (NPI 1174380422).
Provider details
- NPI number
- 1174380422
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- John Minella, Owner(770) 235-0071
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fyzical Therapy & Balance Centers
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Frequently asked questions
- What is Coastline Physical Therapy LLC's NPI number?
- Coastline Physical Therapy LLC's National Provider Identifier (NPI) is 1174380422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastline Physical Therapy LLC?
- Coastline Physical Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Coastline Physical Therapy LLC located?
- Coastline Physical Therapy LLC's practice location on file with NPPES is 3781 S Nova Rd Ste B, Port Orange, FL 32129-4285.
- What is Coastline Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastline Physical Therapy LLC is (770) 235-0071.
- Does Coastline Physical Therapy LLC accept Medicare?
- Coastline Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coastline Physical Therapy LLC?
- The authorized official listed on Coastline Physical Therapy LLC's NPPES record is John Minella, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastline Physical Therapy LLC's NPI active?
- Yes — Coastline Physical Therapy LLC's NPI (1174380422) is active in the NPPES registry as of the last update on 2024-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.