{
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"OrgName": "COASTAL PHYSICAL THERAPY LIMITED PARTNERSHIP",
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"FirstLineMailingAddress": "1300 W SAM HOUSTON PKWY S",
"SecondLineMailingAddress": "SUITE 300",
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77042-2453",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-297-7000",
"MailingAddressFaxNumber": "713-297-7090",
"FirstLinePracticeLocationAddress": "2440 OSBORNE RD",
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"PracticeLocationAddressCityName": "SAINT MARYS",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31558-9134",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "912-882-3673",
"PracticeLocationAddressFaxNumber": "912-882-3640",
"EnumerationDate": "07/16/2006",
"LastUpdateDate": "05/19/2011",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCAFEE",
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"AuthorizedOfficialTelephoneNumber": "713-297-7000",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QP2000X",
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}