Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB COY COSTELLO, DPT
Active Sole ProprietorDR. JACOB COY COSTELLO, DPT is a Physical Therapy Assistant healthcare provider located in OMAHA, Nebraska. NPI 1275737470 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · OMAHA, NE
Registration Details
- NPI Number
- 1275737470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2007 (19.154891233704 yrs)
- Last Updated
- Jun 12, 2020
- Licenses
-
004086 (IA)2554 (NE)2554 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
825 N 90TH STOMAHA, NE, 681142702Browse NE providers · Browse ZIP 68114
- Phone
- 4029338900
- Fax
- 4023939388
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Prosthetic/Orthotic Supplier
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| MS. CHRISTINE KISSINGER | PT, MPT | 1639172729 |
| MARC HUNLEY | RPT | 1619972676 |
| MICHAEL R BERLIN | PT | 1255337739 |
| MRS. STACY R KERSTEN | PT/ATC | 1942206339 |
| MS. LORI JEAN THOMAS | PT | 1174529580 |
| KRISTA SUE JOHNK | PT, ATC | 1588660872 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.