Active NPI
Jill Susan Costa, P.T.
- Physical Therapist
- Massapequa Park, NY
National Provider Identifier
1922045467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026314
- Practice address
- 5099A Merrick Rd
Massapequa Park, NY 11762-3727 - Phone
- (516) 798-9605
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
- Massapequa, NY
- NPI 1861551194
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William J. Schwarz, P.T., P.C. | Past | Accepting new patients |
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 Therapist | 225100000X | 026314 | NY | Primary |
Addresses
Primary practice location
5099A Merrick Rd
Massapequa Park, NY 11762-3727
Mailing address
3001 Bellmore Ave
Bellmore, NY 11710-4328
Phone (516) 804-4603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840566 | Other | NY | MPN |
NPI Registry JSON
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922045467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 BELLMORE AVE",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117104328",
"telephone_number": "516-804-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5099A MERRICK RD",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117623727",
"telephone_number": "516-798-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "JILL",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "840566",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.