Active NPI
Pamela J Costa, LMT
- Specialist
- Flower Mound, TX
National Provider Identifier
1023265329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT035900
- Practice address
- 2651 Sagebrush Dr
Suite #116
Flower Mound, TX 75028-2733 - Phone
- (214) 513-8684
- NPI assigned
- Aug 19, 2008
- Last updated
- Jun 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT035900 | TX | Primary |
Addresses
Primary practice location
2651 Sagebrush Dr
Suite #116
Flower Mound, TX 75028-2733
Mailing address
2651 Sagebrush Dr
Suite #116
Flower Mound, TX 75028-2733
Phone (214) 513-8684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT035900 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1023265329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 SAGEBRUSH DR",
"address_2": "SUITE #116",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282733",
"telephone_number": "214-513-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 SAGEBRUSH DR",
"address_2": "SUITE #116",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282733",
"telephone_number": "214-513-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "MT035900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
- Carrie Anne Coplen, LPC-ASSOCIATE
- Coppell Spine & Sports Rehab Limited Partnership (Physical Therapy of Flower Mound)
- Danny Keith Corbitt, M.D.
- Core Chiropractic and Physical Therapy
- Allison M Cornell, LPC-S
- Lindsey Council, APRN-CNP
- Counseling and Wellness Institute
- Counseling the Arts, PLLC
- Kyle Countryman, DDS
- Belle Covington, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.