Coastal Complete Care, PA
Coastal Complete Care, PA is a healthcare organization registered as Chiropractor in Perry, FL, holding Type 2 (organization) NPI 1720483043 since 2014. The authorized official on file is Jamie Portwood, Billing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720483043 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Coastal Complete Care, PA |
| Practice address | 100 PLANTATION RD, Perry, FL, 32348 |
| Phone | 8505846000 |
| Enumeration date | 2014-10-29 |
| Last updated in NPPES | 2018-10-18 |
Authorized official
| Name | Jamie Portwood |
|---|---|
| Title | Billing Manager |
| Phone | 8505846000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Secondary | — | FL |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 111N00000X | Chiropractor | Primary | — | FL |
Copy-ready billing details
Provider: Coastal Complete Care, PA NPI: 1720483043 Taxonomy: 111N00000X (Chiropractor) Address: 100 PLANTATION RD, Perry, FL, 32348
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376613844 | Wesley Bethea | Individual | Chiropractor | Perry, FL |
| 1932396033 | Shane Bethea Dc PC Inc | Organization | Chiropractor | Perry, FL |
| 1790173847 | Anna B Woods, Pt, PA | Organization | Physical Therapy Clinic/Center | Perry, FL |
Verify this record
Cross-check NPI 1720483043 against the authoritative CMS record: view Coastal Complete Care, PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Coastal Complete Care, PA?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-10-18.