Meghan Barbara Costa, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05009063A Issued in IN

Practice address

4201 Lake Boone TRL Ste 4
Raleigh, NC 27607-7511

Phone

(919) 781-4434

Fax

(919) 781-5851

NPI assigned

Mar 15, 2007

Last updated

Apr 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Feltz Therapy Services, LLC

  • Rehabilitation Clinic/Center
  • Smyrna, TN
  • NPI 1730165184

  Physical Therapist

  Medicare reassignment NPD
• Pediatric Therapy Associates

  • Physical Therapist
  • Raleigh, NC
  • NPI 1447310958
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1265566871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 BRISBANE WOODS WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL STE 4",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077511",
            "telephone_number": "919-781-4434",
            "fax_number": "919-781-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "MEGHAN",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009063A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200829850",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick R Corrigan
• Kathryn Corso
• George Patrick Corvin, M.D.
• Karen Wierwille Corvin, MD
• Clark C. Corwin, LCSW
• Nicholas Costantini
• Isabel Monique Costantino
• Costco Wholesale Corporation (Costco Pharmacy #1587)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #645)

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.