Active NPI
Stefanie Costa, DPT
- Specialist
- Aventura, FL
National Provider Identifier
1811397482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT29589
- Practice address
- 21355 E Dixie Hwy
Suite 107
Aventura, FL 33180-1238 - Phone
- (786) 923-5000
- NPI assigned
- Sep 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT29589 | FL | Primary |
Addresses
Primary practice location
21355 E Dixie Hwy
Suite 107
Aventura, FL 33180-1238
Mailing address
934 N University Dr Ste 219
Coral Springs, FL 33071-7029
Phone (954) 323-2247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29589 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1811397482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 N UNIVERSITY DR STE 219",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330717029",
"telephone_number": "954-323-2247",
"fax_number": "954-344-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21355 E DIXIE HWY",
"address_2": "SUITE 107",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801238",
"telephone_number": "786-923-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "STEFANIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PT29589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.