MR. ROBERT O. COSTA (NPI# 1598963845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598963845 |
| Entity Type | Individual |
| Full Name | MR. ROBERT O. COSTA |
| Credential | LMT |
| Practice Address |
19 Camino Linda Tijeras NM 87059-8041 |
| Practice Telephone | 5054176182 |
| Mailing Telephone | 5054176182 |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 5365 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Vista Grande, Cedar Crest, NM 870089501 | 5054176182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639514102 | Robert Ty Costa | Case Manager/Care Coordinator | 1904 Richland Ave, Ceres, CA 95307-4562 | 2013-05-09 |
| 1801997267 | Robert K Costa | Obstetrics & Gynecology | 299 Carew St, Suite 215, Springfield, MA 01104-2301 | 2006-09-26 |
| Street Address |
19 CAMINO LINDA |
| City | TIJERAS |
| State | NM |
| Zip Code | 87059-8041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851809552 | Kandi Colliier LLC | Counselor | 3500 Comanche Rd Ne Building E, Suite 21, Albuquerque, NM 87059 | 2018-01-16 |
| 1417407842 | Annette Sobel | Specialist | 7 Engelbrecht Lane, Tijeras, NM 87059 | 2016-10-10 |
| 1467836502 | Quentin Cooper Florence | Pharmacist | 44 Calle Del Media, Tijeras, NM 87059 | 2015-07-18 |
| 1679901607 | Jilapuhn Inc | Non-emergency Medical Transport (VAN) | 868 Nm Highway 333, Tijeras, NM 87059 | 2013-10-30 |
| 1972853349 | Carla Rae Kychik | Nurse Practitioner | 163 Brannon, Tijeras, NM 87059 | 2012-09-13 |
| 1720469034 | Mindy Aller | Technician, Other | 5 Snow Pl, Tijeras, NM 87059-0072 | 2015-06-11 |
| 1306954193 | Richard C Branan | Neurological Surgery | 33 Eagle Crest Dr., Tijeras, NM 87059-0910 | 2006-08-29 |
| 1427133206 | Anna Marie Gurule | Acupuncturist | 11792 Hwy 337, Tijeras, NM 87059-1524 | 2006-10-27 |
| 1316079866 | Shelley A Kastler-davis | Speech-Language Pathologist | 100 Forest Road 252, Tijeras, NM 87059-6308 | 2007-03-11 |
| 1992234900 | Cathleen Snyder | Behavior Technician | 311 Forest Road 462, Tijeras, NM 87059-6319 | 2017-06-05 |
| Find all providers in zip 87059 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981973 | Sara Drake Harsh | Massage Therapist | 2074 Galisteo St Ste A5, Santa Fe, NM 87505-2104 | 2020-10-27 |
| 1205434677 | Jessica Arbour | Massage Therapist | 78 Ute Valley Road, Questa, NM 87556-8755 | 2020-10-16 |
| 1003423872 | Laura Jolly | Massage Therapist | 1963 Kiva Rd, Santa Fe, NM 87505-3314 | 2020-09-25 |
| 1609492479 | Michele Higgins | Massage Therapist | 107 Plaza Garcia Ste B, Taos, NM 87571-6256 | 2020-06-17 |
| 1396369997 | Darla Rae Shrock | Massage Therapist | 8821 Golf Course Rd Nw, Albuquerque, NM 87114-5726 | 2020-05-31 |
| 1669000592 | Eric Revels | Massage Therapist | University of New Mexico Msco6 3870, Albuquerque, NM 87131-0001 | 2020-03-27 |
| 1912532292 | Bertha Ponce | Massage Therapist | 1229 S Saint Francis Dr Ste A, Santa Fe, NM 87505-4052 | 2020-03-07 |
| 1710510458 | Ellen Annette Santistevan-salazar | Massage Therapist | 1410 Sunset Rd Se, Rio Rancho, NM 87124-2629 | 2020-02-21 |
| 1811528342 | James Harold Dyer Jr. | Massage Therapist | 18648 C Private Dr, Espanola, NM 87532-8753 | 2020-02-03 |
| 1780223149 | Jaclynn Arden | Massage Therapist | 4011 Barbara Loop Se Ste 104a, Rio Rancho, NM 87124-1040 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.