COASTLINE PHYSICAL THERAPY & PERFORMANCE INC
NPI 1104358365
Physical Therapist - Orthopedic in Deer Isle, ME
About Coastline Physical Therapy & Performance Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTLINE PHYSICAL THERAPY & PERFORMANCE INC (NPI 1104358365) is a healthcare organization registered as an orthopedic in Deer Isle, Maine and active in the NPI registry since March 2017. The organization maintains a secondary practice location in Blue Hill and lists Hollan Oliver, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coastline Physical Therapy & Performance Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Coastline Physical Therapy & Performance Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 Coastline Physical Therapy & Performance Inc's NPI number?
The NPI number for Coastline Physical Therapy & Performance Inc is 1104358365. It was assigned to this organization in the NPPES registry on March 28, 2017.
Where is Coastline Physical Therapy & Performance Inc located?
Coastline Physical Therapy & Performance Inc is located at 5 Main Street, Deer Isle, ME 04627. The listed phone number is (207) 348-3334.
What is Coastline Physical Therapy & Performance Inc's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Coastline Physical Therapy & Performance Inc enrolled in Medicare?
Yes. Coastline Physical Therapy & Performance Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastline Physical Therapy & Performance Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastline Physical Therapy & Performance Inc. 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. The largest specialties are Physical Therapist in Private Practice (5) and Occupational Therapist in Private Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coastline Physical Therapy & Performance Inc was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Coastline Physical Therapy & Performance Inc · NPI 1104358365
Orthopedic organization in Deer Isle, Maine. Organization record, active in the CMS NPPES registry since March 28, 2017.
## Identity
- **NPI:** 1104358365 (Entity type: Organization)
- **Enumerated:** March 28, 2017
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Organization subpart:** No
- **Authorized official:** Hollan Oliver, OWNER
## Practice location
- **Address:** 5 MAIN STREET, Deer Isle, ME 04627
- **Phone:** (207) 348-3334 · **Fax:** (866) 454-2555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (5), Occupational Therapist in Private Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104358365) · Data from the CMS NPPES public registry.