Jessica Sue Costakes PT

  • NPI 1992814545
According to our database, the NPI number for Jessica Sue Costakes PT is 1992814545 and activated since 17 years ago. Jessica Sue Costakes PT is an individual provider who specializes in Physical Therapist, and the primary practice location is 190 Southpark Blvd, St Augustine, FL 32086. You can also contact Jessica Sue Costakes PT via telephone number is (904) 824-1478. Provider NPI information was last updated on 10/07/2008.

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Overview of Jessica Sue Costakes PT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/29/2006
  • Last updated: 10/07/2008

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 3572 Marlinspike Dr
    Tampa, FL 33607
  • Phone: 517-214-2713
  • Fax:

Provider Practice Location

  • Address: 190 Southpark Blvd
    Suite 100
    St Augustine, FL 32086
  • Phone: 904-824-1478
  • Fax:

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 891952600
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: FL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jessica Sue Costakes PT?
  • A: The npi number for Jessica Sue Costakes PT is 1992814545.
  • Q: What are Jessica Sue Costakes PT's specialties?
  • A: Jessica Sue Costakes PT's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Jessica Sue Costakes PT?
  • A: The medical license number for Jessica Sue Costakes PT is unknow and issued in unknow in USA.
  • Q: Where is Jessica Sue Costakes PT practice location?
  • A: Jessica Sue Costakes PT is practicing at 190 Southpark Blvd, St Augustine, FL 32086.
  • Q: How to contact Jessica Sue Costakes PT?
  • A: You can contact Jessica Sue Costakes PT via 904-824-1478.
Medicare Specialty
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Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.