Active NPI
Susan A Costa, PT
- Physical Therapist
- York, PA
National Provider Identifier
1083970636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-013706L
- Practice address
- 914 W Market St
York, PA 17401-3610 - Phone
- (717) 845-7214
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-013706L | PA | Primary |
Addresses
Primary practice location
914 W Market St
York, PA 17401-3610
Mailing address
210 Jenny LN
Stewartstown, PA 17363-8358
Phone (717) 993-6257
Other names 1
- Susan A Braziell
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 |
|---|---|---|---|
| PT-013706L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1083970636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 JENNY LN",
"city": "STEWARTSTOWN",
"state": "PA",
"postal_code": "173638358",
"telephone_number": "717-993-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 W MARKET ST",
"city": "YORK",
"state": "PA",
"postal_code": "174013610",
"telephone_number": "717-845-7214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-013706L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BRAZIELL",
"middle_name": "A",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in York, PA
- Thomas Corsaro, D.D.S.
- Cheyenne Rushelle Cortez-Faupel, DO
- Jennifer Rose Cortez, CRNP
- Michael Jordan Corum, D.O.
- Erin Nicole Cosgrove-Findley, LPC
- Christian Cotton
- Timothy George Coughlin, D.D.S.
- Counseling & Psychaitry Associates of York ,LLC
- Counseling & Rehabilitation Services of York
- County of York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.