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

Jessica Sue Costakes, PT

Individual provider Physical Therapist · NPI 1992814545

Jessica Sue Costakes, PT is a Physical Therapist in St Augustine, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

190 Southpark Blvd Ste 100
St Augustine, FL 32086-4120
Phone: (904) 824-1478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1992814545
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESOctober 7, 2008

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