Julie Miller Costomiris, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005739 Issued in GA

Practice address

2 Ed Moore CT
Suite B
Statesboro, GA 30458-5024

Phone

(912) 764-9951

Fax

(912) 489-4808

NPI assigned

Apr 19, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1639523350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ED MOORE CT",
            "address_2": "SUITE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585024",
            "telephone_number": "912-764-9951",
            "fax_number": "912-489-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ED MOORE CT",
            "address_2": "SUITE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585024",
            "telephone_number": "912-764-9951",
            "fax_number": "912-489-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTOMIRIS",
        "first_name": "JULIE",
        "middle_name": "MILLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Cook
• Kimberly Cook, PHARMD
• Tasha Marie Cooper, NP
• Coordinated Home Care
• Atys Benjamin Cope, M.D.
• Costrini & Meadows, PC
• Dennis James Coto Jr., FNP-BC
• Cotton Ridge Physical Therapy LLC (Accelerated Rehabilitation Centers)
• Jennifer Reddish Coulter, FNP-C
• Kirsten Baum Coulter, PNP

• Physical Therapist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.