Active NPI
Chris Julien Costers
- Physical Therapy Clinic/Center
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT6113
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accessible Physical Therapy Inc | Physical Therapy | Current | Accepting new patients |
| Aegis Group Practice LLC | Current | Accepting new patients | |
| Aegis Group Practice LLC | Physical Therapy | Current | 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.
-
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1649900408
FL, Physical Therapy
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
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.