Jacob Coy Costello in Omaha - Physical Therapist
Jacob Coy Costello - NPI 1275737470
Jacob Coy Costello is a Physical Therapist in Omaha, Nebraska. Jacob Coy Costello practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jacob Coy Costello is 1275737470. The last update date is 2020-06-12.
Jacob Coy Costello's current location address is 825 N 90th St, Omaha, Nebraska. You can contact this provider via phone number 4029338900 and fax number 4023939388. The mailing address for Jacob Coy Costello is 825 N 90th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Coy Costello |
|---|---|
| Address | 825 N 90th St, Omaha, Nebraska |
| Phone Number | 4029338900 |
| Fax Number | 4023939388 |
| Sole Proprietor | Y |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1275737470 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2020-06-12 |
Provider Mailing Address Detail
| Address | 825 N 90th St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681142702 |
| Phone Number | 4029338900 |
| Fax Number | 4023939388 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 4086 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025410100 | NE | -- | |
| CK3588 | NE | RR MEDICARE | |
| 10025768700 | NE | -- | |
| 47082113700 | NE | -- | |
| P00453830 | NE | MEDICARE RR |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jacob Coy Costello by the Centers for Medicare & Medicaid Services?
The Jacob Coy Costello has been issued the NPI (National Provider Identifier) 1275737470, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacob Coy Costello located?
The Jacob Coy Costello is located at 825 N 90Th St, Omaha, NE 681142702.
What is Jacob Coy Costello's area of expertise and its corresponding taxonomy classification?
The Jacob Coy Costello's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1275737470 to Jacob Coy Costello?
The Jacob Coy Costello received its 1275737470 assignment from the Centers for Medicare & Medicaid Services on 2007-06-12.
When was the Jacob Coy Costello's information last updated?
The Jacob Coy Costello's information was last updated on 2020-06-12.