Aimee Tosha Costabile Henk, DPT
Individual provider Active NPI Physical Therapist · Louisburg, NC
NPI 1497051791 · NPPES record last updated Feb 3, 2011
Key facts
- NPI
- 1497051791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11786 (NC)
- Practice address
- 1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178 - Phone
- (919) 497-8414
- Fax
- (919) 497-8478
- NPI assigned
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11786 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Health Metrics, LLC | Physical Therapist | Past | Accepting new patients |
| Activcare Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
| Carolina Physical Therapy Associates LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11786 | NC | Yes |
Addresses
Primary practice location
1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178
Mailing address
2415 Professional Dr
PO Box 7594
Rocky Mount, NC 27804-2254
Phone (252) 443-0808
Other providers in Louisburg, NC
- Comfort Healthcare, Inc.
- Jennifer Poppe Congleton
- Continuum II Home Health & Hospice, Inc.
- Lana J Cooper
- Cornelius F. Cathcart, Pediatrics, PA
- County of Franklin
- County of Franklin
- County of Franklin
- Leslie Willis Cox Jr.
- William R Croninger
All providers in Louisburg, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.