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

Mr. James Joseph Costa, PTATC, CSCS

Individual provider Specialist · NPI 1790857647

Mr. James Joseph Costa, PTATC, CSCS is a Physical Therapist in Private Practice in Commack, New York. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2006

Practice location Address checks out

16 Shirley Ct
Commack, NY 11725-4122
Phone: (631) 864-3042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 009869 (NY)

Record details

NPI number1790857647
Entity typeIndividual (Type 1)
GenderMale
Credentials PTATC , CSCS
Sole proprietorYes
NPI enumeratedNovember 15, 2006
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Commack