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COSTA PHYSICAL THERAPY P.C. NPI 1629355490


NPI Information

NPI: 1629355490
Provider Name: COSTA PHYSICAL THERAPY, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
269 E MAIN ST
SUITE E3
SMITHTOWN, NY
ZIP 11787
Phone: (631) 724-3150
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COSTA PHYSICAL THERAPY, P.C. is a specialist in Smithtown, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COSTA PHYSICAL THERAPY, P.C. NPI is 1629355490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

269 E MAIN ST
SUITE E3
SMITHTOWN, NY
ZIP 11787-832
Phone: (631) 724-3150
Fax: (631) 724-3117

The provider's authorized official is James J Costa .
The authorized official title is Director/owner and has the following contact phone number (631) 724-3150.

The enumeration date for this NPI number is 11/8/2011 and was last updated on 11/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist009869NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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