Milena Luchetta Da Costa, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013891 Issued in GA

Practice address

11720 Medlock Bridge Rd Ste 550
Johns Creek, GA 30097-2505

Phone

(678) 364-7195

NPI assigned

Jan 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blossom Physical Therapy and Wellness LLC

  • Physical Therapist
  • Wexford, PA
  • NPI 1497573869
  Medicare reassignment NPD Authorized official
• Immanuels Word Inc

  • Physical Therapy Clinic/Center
  • Alpharetta, GA
  • NPI 1912949322
  Medicare reassignment NPD
• Primacare Rehabilitation P.C.

  • Physical Therapy Clinic/Center
  • Suwanee, GA
  • NPI 1154408615
  Medicare reassignment

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1972076867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 MEDLOCK BRIDGE RD STE 550",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972505",
            "telephone_number": "678-364-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11676 Perry Hwy Ste 2309",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150907200",
            "country_code": "US",
            "telephone_number": "678-880-9597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCHETTA DA COSTA",
        "first_name": "MILENA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Lorentz
• Lotus Anesthesia LLC
• LT Medical Services Inc
• Xiaoqin Lu, M.D.
• Xiaoyin Tina Lu, MD
• Luna Plastic Surgery, PC
• Lixuan Ma
• Taylor Fritz Mabe, AGACNP-BC
• Charles Albert Machemehl III, DMD, MSD
• Neil S Mackay, PA-C

• Physical Therapist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.