COASTAL WELLNESS AND PHYSICAL THERAPY, INC
NPI 1972251023
Physical Medicine & Rehabilitation - Sports Medicine in Half Moon Bay, CA
About Coastal Wellness And Physical Therapy, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL WELLNESS AND PHYSICAL THERAPY, INC (NPI 1972251023), doing business as Christine Ely Physical Therapy, is a healthcare organization registered as a sports medicine in Half Moon Bay, California and active in the NPI registry since March 2022. The organization lists Kanchan Physical Khurana, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Coastal Wellness And Physical Therapy, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Coastal Wellness And Physical Therapy, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Wellness And Physical Therapy, Inc's NPI number?
The NPI number for Coastal Wellness And Physical Therapy, Inc is 1972251023. It was assigned to this organization in the NPPES registry on March 16, 2022. The provider is doing business as Christine Ely Physical Therapy.
Where is Coastal Wellness And Physical Therapy, Inc located?
Coastal Wellness And Physical Therapy, Inc is located at 785 Main St Ste A, Half Moon Bay, CA 94019. The listed phone number is (650) 712-8400.
What is Coastal Wellness And Physical Therapy, Inc's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.
Is Coastal Wellness And Physical Therapy, Inc enrolled in Medicare?
Yes. Coastal Wellness And Physical Therapy, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Wellness And Physical Therapy, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Coastal Wellness And Physical Therapy, 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, 1 practice at this address and 2 within 10 miles. 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 Wellness And Physical Therapy, Inc was last updated on March 16, 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.
# Coastal Wellness And Physical Therapy, Inc · NPI 1972251023
Sports Medicine organization in Half Moon Bay, California. Organization record, active in the CMS NPPES registry since March 16, 2022.
## Identity
- **NPI:** 1972251023 (Entity type: Organization)
- **Enumerated:** March 16, 2022
- **Primary specialty:** Physical Medicine & Rehabilitation - Sports Medicine · taxonomy 2081S0010X
- **Also known as:** Christine Ely Physical Therapy (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kanchan Khurana, PRESIDENT
## Practice location
- **Address:** 785 MAIN ST STE A, Half Moon Bay, CA 94019-1987
- **Phone:** (650) 712-8400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1972251023) · Data from the CMS NPPES public registry.