Individual provider Active NPI

Michael A Costa, DPT

  • Physical Therapist
  • Union, NJ
National Provider Identifier
1770214959
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02093300 Issued in NJ
Practice address
2333 Morris Ave Ste A101
Union, NJ 07083-5746
Phone
(908) 486-4400
Fax
(908) 259-2760
NPI assigned
Jun 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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 40QA02093300 NJ Primary

Addresses

Primary practice location

2333 Morris Ave Ste A101
Union, NJ 07083-5746

Mailing address

2333 Morris Ave Ste A101
Union, NJ 07083-5746
Phone (908) 486-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706000347 NJ Practitioner - Physical Therapist in Private Practice 2264812437 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

2333 Morris Ave
Suite A101
Union, NJ 07083-5746
Phone (908) 486-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Physical Therapy of Princeton-Plainsboro Physical Therapist CurrentSince Jul 6, 2022 Accepting new patients
Jersey Physical Therapy of Milltown/East Brunswick Physical Therapist CurrentSince Jul 6, 2022 Accepting new patients
Orthonj LLC CurrentSince Dec 2, 2024 Accepting new patients
Jersey Physical Therapy Associates LLC Physical Therapist CurrentSince Jul 6, 2022 Accepting new patients
Ipta Clinical, LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Orthonj LLC CurrentSince Dec 2, 2024 Accepting new patients
3 Dimensional Physical Therapy - Pelvic Health LLC Physical Therapist PastSince Feb 23, 2025 Accepting new patients

Locations

180 Tices Ln
East Brunswick, NJ 08816
Phone (732) 236-1793

3228 State Route 27
Ste 2A
Kendall Park, NJ 08824
Phone (732) 297-0032

3228 State Route 27
Kendall Park, NJ 08824
Phone (732) 297-0032

175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

3 Liberty St
Ste 1032
Plainsboro, NJ 08536
Phone (609) 785-5386

2333 Morris Ave
Ste A101
Union, NJ 07083
Phone (908) 486-4400

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1770214959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE A101",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835746",
            "telephone_number": "908-486-4400",
            "fax_number": "908-259-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE A101",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835746",
            "telephone_number": "908-486-4400",
            "fax_number": "908-259-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02093300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.