COASTLINE SPINE CHIROPRACTIC & REHAB, PLLC
NPI 1750058889
Chiropractor in St Augustine, FL

Q: What is Coastline Spine Chiropractic & Rehab, PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since August 26, 2021

900 STATE ROAD 16 STE 2, ST AUGUSTINE, FL 32084(904) 599-7791 Get Directions Write a Review

NPPES record last updated: January 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2025, Aug 26, 2021 (2 updates tracked since 2021).

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About Coastline Spine Chiropractic & Rehab, Pllc NPPES

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

COASTLINE SPINE CHIROPRACTIC & REHAB, PLLC (NPI 1750058889) is a healthcare organization registered as a chiropractor in St Augustine, Florida and active in the NPI registry since August 2021. The organization lists William Beasley, Owner, as its authorized official.

NPPES Registry Identity

NPI1750058889

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCOASTLINE SPINE CHIROPRACTIC & REHAB, PLLC

Location Address900 STATE ROAD 16 STE 2St Augustine, FL 32084-6567

Mailing Address900 State Road 16 Ste 2St Augustine, FL 32084-6567 · (904) 599-7791

Phone(904) 599-7791

Organization SubpartNo

Authorized OfficialWilliam BeasleyOwner · (904) 599-7791

Enumeration DateAugust 26, 2021

Last NPPES UpdateJanuary 11, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2025

✔ NPI 1750058889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

900 STATE ROAD 16 STE 2, St Augustine, FL 32084

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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

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 Spine Chiropractic & Rehab, Pllc 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 Coastline Spine Chiropractic & Rehab, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Beasley, DC

Chiropractic

NPI 1548723273

900 STATE ROAD 16 STE 2
Saint Augustine, FL 32084

(904) 599-7791

Same 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 Coastline Spine Chiropractic & Rehab, PLLC's NPI number?

The NPI number for Coastline Spine Chiropractic & Rehab, PLLC is 1750058889. It was assigned to this organization in the NPPES registry on August 26, 2021.

Where is Coastline Spine Chiropractic & Rehab, PLLC located?

Coastline Spine Chiropractic & Rehab, PLLC is located at 900 State Road 16 Ste 2, St Augustine, FL 32084. The listed phone number is (904) 599-7791.

What is Coastline Spine Chiropractic & Rehab, PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Coastline Spine Chiropractic & Rehab, PLLC enrolled in Medicare?

Yes. Coastline Spine Chiropractic & Rehab, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastline Spine Chiropractic & Rehab, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Coastline Spine Chiropractic & Rehab, PLLC. 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 Coastline Spine Chiropractic & Rehab, PLLC was last updated on January 11, 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.