Jill Susan Costa, P.T.
Physical Therapist in Massapequa Park, NY. Individual provider (NPI-1).
NPI number1922045467
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1922045467
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jill Susan Costa
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 026314 | NY | Yes |
Practice location
5099a Merrick RdMassapequa Park, NY 11762-3727
Phone 516-798-9605
Mailing address
3001 Bellmore AveBellmore, NY 11710-4328
Phone 516-804-4603
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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