BRANT EDWARD COSTILLA PTA
NPI 1316554595
Physical Therapy Assistant in Bedford, TX

Active since September 30, 2020
2112 FORUM PKWY, BEDFORD, TX 76021(817) 799-4909 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brant Edward Costilla Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANT EDWARD COSTILLA PTA (NPI 1316554595) is an individual physical therapy assistant provider in Bedford, Texas, licensed in Texas (2131372) and active in the NPI registry since September 2020.Information from the official NPPES registry record, last updated September 30, 2020.

NPPES Registry Identity

NPI1316554595
Entity TypeIndividualMale
Provider Legal NameBRANT EDWARD COSTILLACredential: PTA
Location Address2112 FORUM PKWYBedford, TX 76021-6028
Mailing Address1814 Wood Duck CtMidlothian, TX 76065-9427 · (469) 222-7619
Sole ProprietorNo
Enumeration DateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
NPI 1316554595 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physical Therapy Assistant

Taxonomy 225200000X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Licensed in TX · 2131372

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency… Show more

2112 FORUM PKWY, Bedford, TX 76021

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Occupational Therapist
2112 FORUM PKWY
BEDFORD, TX 76021
Physical Therapist
2112 FORUM PKWY
BEDFORD, TX 76021
Occupational Therapy Assistant
2112 FORUM PKWY
BEDFORD, TX 76021
Physical Therapy Assistant
2112 FORUM PKWY
BEDFORD, TX 76021
Speech-Language Pathologist
2112 FORUM PKWY
BEDFORD, TX 76021
Occupational Therapy Assistant
2112 FORUM PKWY
BEDFORD, TX 76021
Occupational Therapist
2112 FORUM PKWY
BEDFORD, TX 76021
Occupational Therapist
2112 FORUM PKWY
BEDFORD, TX 76021
Skilled Nursing Facility
2112 FORUM PKWY
BEDFORD, TX 76021
Skilled Nursing Facility
2112 FORUM PKWY
BEDFORD, TX 76021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316554595, enumerated as an "individual" on September 30, 2020.

The provider is located at 2112 FORUM PKWY BEDFORD, TX 76021 and the phone number is (817) 799-4909.

Physical Therapy Assistant with taxonomy code 225200000X.