Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Concierge Physical Therapy LLC

Organization Physical Therapist · NPI 1609483361

Coastal Concierge Physical Therapy LLC is a Physical Therapist in Jacksonville, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4213 Marblewood Ln
Jacksonville, FL 32216-3614
Phone: (330) 704-8907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1609483361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Brown — Sole Mbr · (330) 704-8907
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 21, 2020
Mailing address4213 Marblewood Ln, Jacksonville, FL 32216-3614

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