Dana M. Costello, Pediatric Physical Therapy, LLC
Physical Medicine & Rehabilitation in Wyckoff, New Jersey
1467787101- Practice location
- 501 Julie CT, Wyckoff, NJ 07481-1100
- Phone
- 973-204-3491
- Fax
- 201-891-1344
- Last updated
- October 14, 2009
Dana M. Costello, Pediatric Physical Therapy, LLC is a healthcare organization based in Wyckoff, NJ. Dana M. Costello, Pediatric Physical Therapy, LLC practices in Wyckoff, NJ. The NPI Number for Dana M. Costello, Pediatric Physical Therapy, LLC is 1467787101 and holds a License No. 40QA00907700 (NJ). The current practice location address for Dana M. Costello, Pediatric Physical Therapy, LLC is 501 Julie CT, Wyckoff, NJ 07481-1100 and can be reached out via phone at 973-204-3491 and via fax at 201-891-1344.
Provider Profile Details
- NPI Number
- 1467787101
- Provider Name
- Dana M. Costello, Pediatric Physical Therapy, LLC
- Provider Entity Type
- Organization
- Address
- 501 Julie CT, Wyckoff, NJ 07481-1100
- Phone Number
- 973-204-3491
- Fax Number
- 201-891-1344
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Organization Subpart
- No
- Authorized Official
- Dr. Dana M. Costello · Owner · 973-204-3491
- Provider Enumeration Date
- October 14, 2009
- Last Update Date
- October 14, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 501 Julie CT
Wyckoff, NJ 07481-1100 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-1100
- Phone Number
- 973-204-3491
- Fax Number
- 201-891-1344
Provider Business Mailing Address Details
- Address
- 501 Julie CT
Wyckoff, NJ 07481-1100 - City
- Wyckoff
- State
- NJ
- Zip
- 07481-1100
- Phone Number
- 973-204-3491
- Fax Number
- 201-891-1344
License Information
- License Number
- 40QA00907700
- License State
- NJ
- Taxonomy
- Physical Medicine & Rehabilitation · 208100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dana M. Costello, Pediatric Physical Therapy, LLC?
The NPI number of Dana M. Costello, Pediatric Physical Therapy, LLC is 1467787101. It was assigned on October 14, 2009 and is currently active in the NPPES registry.
What is the specialty of Dana M. Costello, Pediatric Physical Therapy, LLC?
Dana M. Costello, Pediatric Physical Therapy, LLC is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number 40QA00907700.
Where does Dana M. Costello, Pediatric Physical Therapy, LLC practice?
The practice location is 501 Julie CT, Wyckoff, NJ 07481-1100. The office can be reached at 973-204-3491 (phone) or 201-891-1344 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467787101 directly on the NPPES registry website.