Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coastal PT

Organization Physical Therapist · NPI 1679236806

Coastal PT provides Physical Therapist services in Valparaiso, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

424 College Blvd
Valparaiso, FL 32580-1774
Phone: (850) 378-2600
Fax: (833) 869-6437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679236806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Traci Green — Owner/Pt · (850) 378-2600
NPI enumeratedOctober 14, 2021
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021
Mailing address6021 Sterling River Way, Niceville, FL 32578-1534

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