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

Coastline Therapy Group, LLC

Organization Physical Therapist · NPI 1730681388

Coastline Therapy Group, LLC is a Physical Therapist in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
Specialties on file
6
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

3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone: (910) 679-8385
Fax: (910) 679-8387
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Physical Therapist Taxonomy 225100000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Occupational Therapist Taxonomy 225X00000X · Licence 10745 (NC)
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 12318 (NC)

Record details

NPI number1730681388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Bageant — Owner, Cfo · (910) 461-9168
NPI enumeratedFebruary 28, 2018
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address1468 Eastbourne Dr, Wilmington, NC 28411-8431

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