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

Coastal PT

Organization Physical Therapist · NPI 1679236806

Coastal PT is a Physical Therapist 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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