COASTLINE PHYSICAL THERAPY & PERFORMANCE INC
NPI 1104358365
Physical Therapist - Orthopedic in Deer Isle, ME

Active since March 28, 2017
5 MAIN STREET, DEER ISLE, ME 04627(207) 348-3334(866) 454-2555 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Mar 28, 2017 (2 updates tracked since 2017).

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

NPI1104358365
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameCOASTLINE PHYSICAL THERAPY & PERFORMANCE INC
Location Address5 MAIN STREETDeer Isle, ME 04627
Mailing AddressPo Box 264Deer Isle, ME 04627 · (207) 348-3334 · Fax (866) 454-2555
Fax(866) 454-2555
Organization SubpartNo
Authorized OfficialHollan OliverOwner · (207) 348-3334
Enumeration DateMarch 28, 2017
Last NPPES UpdateJanuary 31, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
NPI 1104358365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in ME · PT4816
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
5 MAIN STREET, Deer Isle, ME 04627

Secondary Practice Location 1

Location 11 West Ln Ste BBlue Hill, ME 04614-6102 · Phone (207) 374-7246 · Fax (866) 454-2555

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5 MAIN STREET
DEER ISLE, ME 04627
Physical Therapist
5 MAIN STREET
DEER ISLE, ME 04627
Occupational Therapist
5 MAIN STREET
DEER ISLE, ME 04627

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.

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 18 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.