Jessica Danko, PTA
Individual provider Active NPI Physical Therapy Assistant · Davison, MI
NPI 1619603081 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1619603081
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502003649 (MI)
- Practice address
- 1210 S Irish Rd
Davison, MI 48423 - Phone
- (810) 379-7070
- Fax
- (810) 379-7071
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502003649 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502003649 | MI | Yes |
Addresses
Primary practice location
1210 S Irish Rd
Davison, MI 48423
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Other names
- Jessica Kostsuca
Other providers in Davison, MI
- Stanley J Conhon
- Santino D Cooper
- Tammara Lee Copeland
- David M Coriasso
- Paul Allen Crotteau
- Catherine Chun Dato
- David J Slezak DDS PC
- Debra Davis
- Davison Drug Store Inc
- Davison Family Dentistry
All providers in Davison, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. 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.