COASTAL REHABILITATION & REGENERATIVE MEDICINE, LLC
NPI 1063161933
Rehabilitation Hospital in Little River, SC

Active since March 19, 2022
100 WATER GRANDE BLVD, LITTLE RIVER, SC 29566(609) 233-8064 Get Directions Write a Review

NPPES record last updated: March 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Rehabilitation & Regenerative Medicine, Llc NPPES

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

COASTAL REHABILITATION & REGENERATIVE MEDICINE, LLC (NPI 1063161933) is a healthcare organization registered as a rehabilitation hospital in Little River, South Carolina and active in the NPI registry since March 2022. The organization lists James Edward Huber, Physician/ceo, as its authorized official.

NPPES Registry Identity

NPI1063161933
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameCOASTAL REHABILITATION & REGENERATIVE MEDICINE, LLC
Location Address100 WATER GRANDE BLVDLittle River, SC 29566-8162
Mailing Address6102 Sanden Rd NeCedar Rapids, IA 52411-8026 · (609) 233-8064
Organization SubpartNo
Authorized OfficialJames Edward HuberPhysician/ceo · (609) 233-8064
Enumeration DateMarch 19, 2022
NPPES CertifiedMarch 19, 2022
✔ NPI 1063161933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
100 WATER GRANDE BLVD, Little River, SC 29566

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 Rehabilitation & Regenerative Medicine, Llc 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 Rehabilitation & Regenerative Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1477966828
100 WATER GRANDE BLVD
Little River, SC 29566
(843) 366-4000
✔ PECOS✔ Accepts MedicareSame address

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 Rehabilitation & Regenerative Medicine, LLC's NPI number?

The NPI number for Coastal Rehabilitation & Regenerative Medicine, LLC is 1063161933. It was assigned to this organization in the NPPES registry on March 19, 2022.

Where is Coastal Rehabilitation & Regenerative Medicine, LLC located?

Coastal Rehabilitation & Regenerative Medicine, LLC is located at 100 Water Grande Blvd, Little River, SC 29566. The listed phone number is (609) 233-8064.

What is Coastal Rehabilitation & Regenerative Medicine, LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Is Coastal Rehabilitation & Regenerative Medicine, LLC enrolled in Medicare?

Yes. Coastal Rehabilitation & Regenerative Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Rehabilitation & Regenerative Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Coastal Rehabilitation & Regenerative Medicine, LLC. 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 Rehabilitation & Regenerative Medicine, LLC was last updated on March 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.