Individual provider Active NPI

Joyce Lino Costa, DPT

  • Physical Therapist
  • Jacksonville, NC
National Provider Identifier
1194595546
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22837 Issued in NC
Practice address
2000 Brabham Ave Ste 100
Jacksonville, NC 28546-0202
Phone
(910) 332-3800
NPI assigned
Jan 8, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22837 NC Primary

Addresses

Primary practice location

2000 Brabham Ave Ste 100
Jacksonville, NC 28546-0202

Mailing address

2000 Brabham Ave Ste 100
Jacksonville, NC 28546-0202

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Emergeortho, PA PastSince Dec 22, 2024 Accepting new patients
Emergeortho PA PastSince Dec 22, 2024 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

3814 Rural Retreat Rd
Ste 103
Burlington, NC 27215
Phone (743) 241-3020

1591 Yanceyville St
Ste 400
Greensboro, NC 27405
Phone (336) 274-7480

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1194595546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BRABHAM AVE STE 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BRABHAM AVE STE 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460202",
            "telephone_number": "910-332-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "JOYCE",
        "middle_name": "LINO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.