Active NPI
Ricardo F Costa, PT
- Physical Therapist
- Chatham, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01224500
- Practice address
- 641 Shunpike Rd
Chatham, NJ 07928-1567 - Phone
- (973) 520-4940
- Fax
- (973) 520-4941
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01224500 | NJ | Primary |
Addresses
Primary practice location
641 Shunpike Rd
Chatham, NJ 07928-1567
Mailing address
641 Shunpike Rd
Chatham, NJ 07928-1567
Phone (973) 520-4940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
641 Shunpike Rd
Chatham, NJ 07928-1567
Phone (973) 520-4940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results Physical Therapy Institute | Current | Accepting new patients | |
| Sportscare of America, PC | Physical Therapist | Current | Accepting new patients |
| United Sports Care & Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525
1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255
197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700
40 Main St
Chatham, NJ 07928
Phone (973) 635-0800
466 Southern Blvd
Chatham Twp, NJ 07928
Phone (973) 370-9944
641 Shunpike Rd
Chatham Twp, NJ 07928
Phone (201) 377-5566
609 Morris Ave
Ste 2
Springfield, NJ 07081
Phone (973) 671-3200
111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Chatham, NJ
- NPI 1902362080
-
- Physical Therapist
- East Hanover, NJ
- NPI 1851484380
-
- Occupational Therapist
- Cedar Knolls, NJ
- NPI 1972881233
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1407938277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 SHUNPIKE RD",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079281567",
"telephone_number": "973-520-4940",
"fax_number": "973-520-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 SHUNPIKE RD",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079281567",
"telephone_number": "973-520-4940",
"fax_number": "973-520-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "RICARDO",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01224500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.