COSTA PHYSICAL THERAPY, P.C.
NPI 1629355490
Specialist in Smithtown, NY

Active since November 08, 2011
269 E MAIN ST, SUITE E3, SMITHTOWN, NY 11787(631) 724-3150(631) 724-3117 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Costa Physical Therapy, P.c. NPPES

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

COSTA PHYSICAL THERAPY, P.C. (NPI 1629355490) is a healthcare organization registered as a specialist in Smithtown, New York and active in the NPI registry since November 2011. The organization lists James J Costa, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1629355490
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOSTA PHYSICAL THERAPY, P.C.
Location Address269 E MAIN ST, SUITE E3Smithtown, NY 11787-2832
Mailing Address269 E Main St, Suite E3Smithtown, NY 11787-2832 · (631) 724-3150 · Fax (631) 724-3117
Fax(631) 724-3117
Organization SubpartNo
Authorized OfficialJames J CostaDirector/owner · (631) 724-3150
Enumeration DateNovember 8, 2011
✔ NPI 1629355490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 009869
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
269 E MAIN ST, Smithtown, NY 11787

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Costa Physical Therapy, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111209000237Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Costa Physical Therapy, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1790857647
16 SHIRLEY COURT
Commack, NY 11725
(631) 864-3042
✔ Accepts Medicare4.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Costa Physical Therapy, P.C.'s NPI number?

The NPI number for Costa Physical Therapy, P.C. is 1629355490. It was assigned to this organization in the NPPES registry on November 8, 2011.

Where is Costa Physical Therapy, P.C. located?

Costa Physical Therapy, P.C. is located at 269 E Main St Suite E3, Smithtown, NY 11787. The listed phone number is (631) 724-3150.

What is Costa Physical Therapy, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Costa Physical Therapy, P.C. enrolled in Medicare?

Yes. Costa Physical Therapy, P.C. is registered in the Medicare PECOS enrollment system.

When is Costa Physical Therapy, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Costa Physical Therapy, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Costa Physical Therapy, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Costa Physical Therapy, P.C. was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.