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COASTAL PHYSICAL MEDICINE, PA
NPI 1053580662
Clinic/Center - Medical Specialty in North Charleston, SC

Active since February 27, 2008
3185 AZALEA DR, NORTH CHARLESTON, SC 29405(843) 762-2274(843) 762-2278 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Physical Medicine, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL PHYSICAL MEDICINE, PA (NPI 1053580662) is a healthcare organization registered as a medical specialty in North Charleston, South Carolina and active in the NPI registry since February 2008. The organization lists Rebecca Mcswain, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1053580662
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCOASTAL PHYSICAL MEDICINE, PA
Location Address3185 AZALEA DRNorth Charleston, SC 29405-8211
Mailing AddressPo Box 12819Charleston, SC 29422-2819 · (843) 762-2274 · Fax (843) 762-2278
Phone(843) 762-2274
Fax(843) 762-2278
Organization SubpartNo
Authorized OfficialRebecca McswainPractice Manager · (843) 762-2274
Enumeration DateFebruary 27, 2008
✔ NPI 1053580662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in SC · 19612
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3185 AZALEA DR, North Charleston, SC 29405
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Other Identifiers 1

MedicaidGP2989SC

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Physical Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Physical Medicine, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kerri Kolehma, MD
Physical Medicine and Rehabilitation
NPI 1760587034
3185 AZALEA DR COASTAL PHYSICAL MEDICINE PA
N Charleston, SC 29405
(843) 762-2274
✔ PECOS0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Physical Medicine, PA's NPI number?

The NPI number for Coastal Physical Medicine, PA is 1053580662. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Coastal Physical Medicine, PA located?

Coastal Physical Medicine, PA is located at 3185 Azalea Dr, North Charleston, SC 29405. The listed phone number is (843) 762-2274.

What is Coastal Physical Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Coastal Physical Medicine, PA enrolled in Medicare?

Yes. Coastal Physical Medicine, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Physical Medicine, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Coastal Physical Medicine, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Physical Medicine, PA was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.