Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alisa Kostukovsky, PT, DPT

Individual provider Physical Therapist · NPI 1780089052

Alisa Kostukovsky, PT, DPT is a Physical Therapist in Tarzana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

18110 Bromley St
Tarzana, CA 91356-1701
Phone: (818) 383-9708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 41808 (CA)

Record details

NPI number1780089052
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedOctober 29, 2014
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020

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