Alyssa Costante, PT, DPT, LAT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34054 Issued in FL

Practice address

6248 103Rd St
Jacksonville, FL 32210-7733

Phone

(904) 573-0046

Fax

(904) 573-0772

NPI assigned

Sep 23, 2014

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Physical Therapy & Sports Performance

  • Physical Therapist
  • Bluffton, SC
  • NPI 1548447410
  NPD
• Elite Physical Therapy & Sports Performance Bluffton

  dba Elite Physcial Therapy & Sports Performance

  • Physical Therapist
  • Bluffton, SC
  • NPI 1821683517
  NPD

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1669874517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6248 103RD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107733",
            "telephone_number": "904-573-0046",
            "fax_number": "904-573-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6248 103RD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107733",
            "telephone_number": "904-573-0046",
            "fax_number": "904-573-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Bartram Oaks Walk Ste 104",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322593247",
            "country_code": "US",
            "telephone_number": "904-240-0442",
            "fax_number": "904-240-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTANTE",
        "first_name": "ALYSSA",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3595",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Costa, D.O.
• Megan Costacamps
• Terry S Costakis, R.PH.
• Yaisy Costales Sade, MS, BCBA
• Giselle Costales
• Raquel Costantino
• Costco Wholesale Corporation (Costco Pharmacy #1294)
• Costco Wholesale Corporation (Costco Optical #1294)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #357)

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.