Individual provider Active NPI

Chris Julien Costers

  • Physical Therapy Clinic/Center
  • Pensacola, FL
National Provider Identifier
1821846403
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT6113 Issued in FL
Practice address
600 W Gregory St
Pensacola, FL 32502-4744
Phone
(850) 434-8071
NPI assigned
May 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT6113 FL Primary

Addresses

Primary practice location

600 W Gregory St
Pensacola, FL 32502-4744

Mailing address

2379 Reservation Rd
Gulf Breeze, FL 32563-2539
Phone (850) 512-4650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626001112 FL Practitioner - Physical Therapist in Private Practice 7416491964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accessible Physical Therapy IncGroup PAC ID 6608256805, 11 clinicians

Practice addresses (Care Compare)

10075 Hillview Dr
Pensacola, FL 32514-5469
Phone (662) 714-3122

1060 Clarity Pointe Dr
Tallahassee, FL 32308-6022
Phone (406) 253-9498

1810 W Cervantes St
Pensacola, FL 32501-0001
Phone (406) 253-9498

2910 W Desoto St
Pensacola, FL 32505-6161
Phone (406) 253-9498

8601 N Davis Hwy
Pensacola, FL 32514-5932
Phone (662) 714-3122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accessible Physical Therapy Inc Physical Therapy CurrentSince Sep 30, 2024 Accepting new patients
Aegis Group Practice LLC CurrentSince Jun 4, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapy CurrentSince Jun 4, 2024 Accepting new patients

Locations

3530 Sandalwood Cir
Naples, FL 34109
Phone (239) 770-4367

1810 W Cervantes St
Pensacola, FL 32501
Phone (406) 253-9498

Organizations & group practices 3

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1821846403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 RESERVATION RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632539",
            "telephone_number": "850-512-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W GREGORY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024744",
            "telephone_number": "850-434-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTERS",
        "first_name": "CHRIS",
        "middle_name": "JULIEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT6113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.