National Provider Identifier
John Joseph Costa, PTA
John Joseph Costa, PTA is listed in the NPPES registry with a primary specialty of Physical Therapist in Amherst, NY and a listed phone number of (716) 839-1550.
Profile Overview
- NPI
- 1275167538
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 26, 2020
- Last Updated
- February 26, 2020
Practice Location
- 4498 Main St Ste 24
- Amherst, NY 14226-3826
Phone: (716) 839-1550
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1275167538
- Entity Type
- Individual
- Last Name
- Costa
- First Name
- John
- Middle Name
- Joseph
- Credential
- PTA
- Mailing Street Address
- 4498 Main St Ste 24
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3826
- Mailing Country
- US
- Mailing Phone
- (716) 839-1550
- Mailing Fax
- (716) 839-1696
- Practice Street Address
- 4498 Main St Ste 24
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-3826
- Practice Country
- US
- Practice Phone
- (716) 839-1550
- Practice Fax
- (716) 839-1696
- Enumeration Date
- February 26, 2020
- Last Updated
- February 26, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 26, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)