Active NPI
David Costa, DPT
- Orthopedic Physical Therapist
- Coppell, TX
National Provider Identifier
1417329152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 41488
- Practice address
- 8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4594 - Phone
- (800) 788-4815
- NPI assigned
- Oct 21, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 41488 | CA | Primary |
Addresses
Primary practice location
8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4594
Mailing address
13603 Route 78
South Wales, NY 14139-9717
Phone (716) 359-2077
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 |
|---|---|---|---|
| 41488 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1417329152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13603 ROUTE 78",
"city": "SOUTH WALES",
"state": "NY",
"postal_code": "141399717",
"telephone_number": "716-359-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 CYPRESS WATERS BLVD STE 300",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194594",
"telephone_number": "800-788-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "41488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.