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

Coastline Physical Therapy LLC

Organization Physical Therapist · NPI 1174380422

Coastline Physical Therapy LLC is a Physical Therapist in Port Orange, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

3781 S Nova Rd Ste B
Port Orange, FL 32129-4285
Phone: (770) 235-0071
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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 number1174380422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Minella — Owner · (770) 235-0071
Other names Fyzical Therapy & Balance Centers
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address704 Horton St, New Smyrna Beach, FL 32169-2920

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