Individual provider Active NPI

Anthony J Costa Jr., PT, DPT

  • Physical Therapist
  • Poland, OH
National Provider Identifier
1639843246
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020858 Issued in OH
Practice address
70 W McKinley Way Ste 7
Poland, OH 44514-1967
Phone
(330) 227-4125
NPI assigned
Aug 6, 2021
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020858 OH Primary

Addresses

Primary practice location

70 W McKinley Way Ste 7
Poland, OH 44514-1967

Mailing address

70 W McKinley Way Ste 7
Poland, OH 44514-1967
Phone (330) 227-4125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620000507 OH Practitioner - Physical Therapist in Private Practice 5496298374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020858OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Costa Rehab & Wellness LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Tri-County Rehabilitation Inc. Physical Therapist CurrentSince Apr 28, 2024 Accepting new patients

Locations

567 E Main St
Canfield, OH 44406
Phone (330) 533-1080

70 W McKinley Way
Ste 7
Poland, OH 44514
Phone (330) 227-4125

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1639843246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W MCKINLEY WAY STE 7",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141967",
            "telephone_number": "330-227-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W MCKINLEY WAY STE 7",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141967",
            "telephone_number": "330-227-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.