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

Gold Coast Physio, LLC

Organization Physical Therapist · NPI 1487598512

Gold Coast Physio, LLC is a Physical Therapist in Walled Lake, Michigan. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
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

100 Decker Rd
Walled Lake, MI 48390-3625
Phone: (248) 896-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1320 Rickett Rd, Brighton, MI 48116-1833 — (810) 247-8442

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1487598512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Narmean Pedawi — Owner/Manager · (248) 918-8300
NPI enumeratedApril 17, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address631 Anhinga Dr, East Lansing, MI 48823-8364

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