Active NPI
Jennifer Lee Costa, PT
- Physical Therapist
- Framingham, MA
National Provider Identifier
1306539796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17003
- Practice address
- 200 W Farm Pond Rd
Framingham, MA 01702-6286 - Phone
- (508) 628-7700
- NPI assigned
- May 31, 2023
- 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 | 17003 | MA | Primary |
Addresses
Primary practice location
200 W Farm Pond Rd
Framingham, MA 01702-6286
Mailing address
287 Turnpike Rd Ste 265
Westborough, MA 01581-2883
Phone (508) 366-7174
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17003 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1306539796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 TURNPIKE RD STE 265",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015812883",
"telephone_number": "508-366-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W FARM POND RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026286",
"telephone_number": "508-628-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "JENNIFER",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.