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

Coastline Imaging LLC

Organization Occupational Therapy Assistant · NPI 1679802599

Coastline Imaging LLC is an Occupational Therapy Assistant in Melbourne, Florida. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1341 Medical Park Dr Ste 202
Melbourne, FL 32901-3235
Phone: (321) 253-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1679802599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danette Lauricia — Credentialing Manager · (321) 253-2700
Other names Coastline Physical Therapy; Coastline Physical Therapy
NPI enumeratedDecember 24, 2009
Last updated in NPPESOctober 11, 2022
Certification dateApril 24, 2022
Mailing address1341 Medical Park Dr, Ste. 202, Melbourne, FL 32901-3235

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