MR. JAMES JOSEPH COSTA PT ATC CSCS
NPI 1790857647
Specialist in Commack, NY

Active since November 15, 2006Accepts Medicare Assignment
16 SHIRLEY COURT, COMMACK, NY 11725(631) 864-3042 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2024, Dec 8, 2020 (2 updates tracked since 2020).

About Mr. James Joseph Costa Pt Atc Cscs NPPES

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

MR. JAMES JOSEPH COSTA PT ATC CSCS (NPI 1790857647) is an individual specialist in Commack, New York, licensed in New York (009869) and active in the NPI registry since November 2006. He is a graduate of Other (1987).

NPPES Registry Identity

NPI1790857647
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. JAMES JOSEPH COSTACredential: PT ATC CSCS
Location Address16 SHIRLEY COURTCommack, NY 11725-4122
Mailing Address16 Shirley CourtCommack, NY 11725-4122
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 15, 2006
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1790857647 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.
16 SHIRLEY COURT, Commack, NY 11725

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James Joseph Costa Pt Atc Cscs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284809872
PECOS Enrollment IDI20111209000266

Medicare Billing Reassignment

Medicare enrollment records show James Costa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
269 E MAIN ST, SUITE E3
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
6,494 services178 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
3,243 services178 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
3,038 services173 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
172 services156 patients

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 James Costa's NPI number?

The NPI number for James Costa is 1790857647. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is James Costa located?

James Costa practices at 16 Shirley Court, Commack, NY 11725. The listed phone number is (631) 864-3042.

What is James Costa's specialty?

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

Is James Costa enrolled in Medicare?

Yes. James Costa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Costa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Costa reassigns Medicare benefits to Costa Physical Therapy, P.C. (Smithtown, NY). The 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 James Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Costa was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.