MEDICARE: AMED-COASTAL THERAPISTS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center	520220000	TX
2	261QR0400X	Rehabilitation Clinic/Center	617670000	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0076AW	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1962489310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMED-COASTAL THERAPISTS, INC

Provider Business Mailing Address
First Line	:	8900 EMMETT F LOWRY EXPY
Second Line	:	SUITE 104
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-9116
Country	:	US
Telephone Number	:	409-935-7925
Fax Number	:	409-935-7926

Provider Business Practice Location Address
First Line	:	6501 MEMORIAL DR
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-4015
Country	:	US
Telephone Number	:	409-935-1393
Fax Number	:	409-935-3844

Authorized Official
Title or Position	:	CEO
Name	:	WALTER F CROWDER
Credential	:
Telephone Number	:	409-935-1234

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	02/13/2012

Similar Medicare Providers

1497751705 — TERRY A SILLER M.D.
Practice Location Address:

6501 MEMORIAL DR
TEXAS CITY, TX
77591-4015

Practice Phone: 409-938-8161
Practice Fax: 409-938-0837

1326049370 — ORTHOPEDIC CLINIC OF GALVESTON COUNTY ASSOCIATES
Practice Location Address:

6501 MEMORIAL DR
TEXAS CITY, TX
77591-4015

Practice Phone: 409-938-8161
Practice Fax: 409-938-0837

1871660076 — MISS CINDY LEA STRICKHAUSEN O.T.
Practice Location Address:

6501 MEMORIAL DRIVE , SUITE A
TEXAS CITY, TX
77591-4015

Practice Phone: 409-935-1393
Practice Fax: 409-935-3844

1881186690 — DR. RYAN LAWRENCE SILLER MD
Practice Location Address:

6501 MEMORIAL DR
TEXAS CITY, TX
77591-4015

Practice Phone: 409-938-8161
Practice Fax: 409-938-0837

1023275823 — DJ GLOBAL SOLUTIONS LLC
Practice Location Address:

4015 S TEXAS AVE
BRYAN, TX
77802-4022

Practice Phone: 979-220-3854
Practice Fax: 979-260-1052

1811844467 — GREG MASON, MA, LPC, PLLC
Practice Location Address:

3833 S TEXAS AVE STE 201
BRYAN, TX
77802-4015

Practice Phone: 979-220-6754
Practice Fax:

Directions to “AMED-COASTAL THERAPISTS, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.