Active NPIIndividual provider

Johanna Costello

Physical Therapy Assistant in Hyannis, Massachusetts

NPI Number1487048666
Practice location
17 Pontiac St Apt 8, Hyannis, MA 02601-2477
Fax
—
Last updated
March 25, 2015

Johanna Costello is a Physical Therapy Assistant based in Hyannis, MA. Johanna Costello practices in Hyannis, MA. The NPI Number for Johanna Costello is 1487048666 and holds a License No. 9003 (MA). The current practice location address for Johanna Costello is 17 Pontiac St Apt 8, Hyannis, MA 02601-2477 and can be reached out via phone at 330-322-5302.

Provider Profile Details

NPI Number
1487048666
Provider Name
Johanna Costello
Provider Entity Type
Individual
Gender
Female
Address
17 Pontiac St Apt 8, Hyannis, MA 02601-2477
Phone Number
330-322-5302
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2015
Last Update Date
March 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Pontiac St Apt 8
Hyannis, MA 02601-2477
Zip
02601-2477
Phone Number
330-322-5302
Hyannis, MA 02601Get directions →

Provider Business Mailing Address Details

Address
17 Pontiac St Apt 8
Hyannis, MA 02601-2477
City
Hyannis
State
MA
Zip
02601-2477
Phone Number
330-322-5302

License Information

License Number (1)
9003
License State (1)
MA
Taxonomy (1)
Physical Therapy Assistant · 225200000X · Primary
License Number (2)
01440
License State (2)
OH
Taxonomy (2)
Physical Therapy Assistant · 225200000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Johanna Costello?

The NPI number of Johanna Costello is 1487048666. It was assigned on March 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Johanna Costello?

Johanna Costello is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 9003.

Where does Johanna Costello practice?

The practice location is 17 Pontiac St Apt 8, Hyannis, MA 02601-2477. The office can be reached at 330-322-5302 (phone).

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 1487048666 directly on the NPPES registry website.

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