COASTAL FITNESS & REHABLILITATION CENTER
NPI 1245590918
Clinic/Center - Rehabilitation in Chipley, FL

Q: What is Restore Therapy And Wellness, Inc.'s NPI number?

The NPI number for Restore Therapy And Wellness, Inc. is 1245590918. It was assigned to this organization in the NPPES registry on May 29, 2012. The provider is doing business as Coastal Fitness & Rehablilitation Center.

Q: What is Restore Therapy And Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Active since May 29, 2012

877 THIRD STREET, SUITE 1, CHIPLEY, FL 32428(850) 638-8447(850) 638-9217 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Coastal Fitness & Rehablilitation Center NPPES

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

COASTAL FITNESS & REHABLILITATION CENTER (NPI 1245590918) is a healthcare organization registered as a rehabilitation in Chipley, Florida and active in the NPI registry since May 2012. The organization lists Jonathan Nicholas Kolmetz, President, as its authorized official.

NPPES Registry Identity

NPI1245590918

Entity TypeOrganization

Primary Taxonomy261QR0400X

Legal Business NameRESTORE THERAPY AND WELLNESS, INC.

Location Address877 THIRD STREET, SUITE 1Chipley, FL 32428

Mailing Address877 Third Street, Suite 1Chipley, FL 32428 · (850) 638-8447 · Fax (850) 638-9217

Phone(850) 638-8447

Fax(850) 638-9217

Organization SubpartNo

Authorized OfficialJonathan Nicholas KolmetzPresident · (850) 638-8447

Enumeration DateMay 29, 2012

✔ NPI 1245590918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

877 THIRD STREET, Chipley, FL 32428

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Other Names 1

Doing Business AsCoastal Fitness & Rehablilitation Center

Other Identifiers 1

Medicare OSCAR/certification686595FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 Fitness & Rehablilitation Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Coastal Fitness & Rehablilitation Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Freddie Kolmetz, PT

Physical Therapist in Private Practice

NPI 1013192822

877 3RD ST SUITE 1
Chipley, FL 32428

(850) 638-8447

✔ Accepts MedicareSame address

Alan Justice, PT

Physical Therapist in Private Practice

NPI 1740465566

877 3RD ST SUITE 1
Chipley, FL 32428

(850) 638-8447

✔ Accepts MedicareSame address

Jonathan Kolmetz, PT

Physical Therapist in Private Practice

NPI 1225237985

4230 LAFAYETTE ST STE C
Marianna, FL 32446

(850) 526-1093

✔ Accepts Medicare18 mi

Chauncey Belser, PT

Physical Therapist in Private Practice

NPI 1558480319

17352 MAIN ST N
Blountstown, FL 32424

(850) 674-4300

✔ Accepts Medicare37 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 Restore Therapy And Wellness, Inc.'s NPI number?

The NPI number for Restore Therapy And Wellness, Inc. is 1245590918. It was assigned to this organization in the NPPES registry on May 29, 2012. The provider is doing business as Coastal Fitness & Rehablilitation Center.

Where is Restore Therapy And Wellness, Inc. located?

Restore Therapy And Wellness, Inc. is located at 877 Third Street Suite 1, Chipley, FL 32428. The listed phone number is (850) 638-8447.

What is Restore Therapy And Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Restore Therapy And Wellness, Inc. enrolled in Medicare?

Yes. Restore Therapy And Wellness, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restore Therapy And Wellness, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Restore Therapy And Wellness, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Restore Therapy And Wellness, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Restore Therapy And Wellness, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Restore Therapy And Wellness, Inc. was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.