Kimberly A Costello
BLUE RIDGE PHYSICAL THERAPY, INC.


Address: 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403
Phone: 4232620020

Kimberly A Costello (NPI# 1336143833, PAC ID# 4880724053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1336143833
PAC ID by PECOS 4880724053
Professional Enrollment ID I20100615000187
Full Name Kimberly A Costello
Organization Legal Name BLUE RIDGE PHYSICAL THERAPY, INC.
Address 3915 Bristol Hwy
Suite 301
Johnson City
TN 37601-1403
Phone Number 4232620020
Gender F
Graduation Year 1991
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 4183753841
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 4232620020 BLUE RIDGE PHYSICAL THERAPY, INC.

Organization Information

Organization Legal Name BLUE RIDGE PHYSICAL THERAPY, INC.
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Lisa L Fahn Physical Therapy Blue Ridge Physical Therapy, Inc. 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403

Office Location

Street Address 3915 BRISTOL HWY
SUITE 301
City JOHNSON CITY
State TN
Zip 37601-1403

Physicians in the same location

Name Specialty Organization Address
Lisa L Fahn Physical Therapy Blue Ridge Physical Therapy, Inc. 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403

Physicians in the same zip code

Name Specialty Organization Address
Andrew Schwichtenberg Optometry 2829 E Oakland Av, Suite 1, Johnson City, TN 37601
Robert W Lawson Emergency Medicine 4100 N Roan St, Suite 3, Johnson City, TN 37601-1103
Heather Beaudry Psychologist, Clinical 3119 Bristol Hwy, Suite 304, Johnson City, TN 37601-1556
Philip A Hillman Chiropractic 3119 Bristol Hwy, Suite 110, Johnson City, TN 37601-1563
Elaine L Devos Physical Medicine and Rehabilitation 2511 Wesley St, Johnson City, TN 37601-1723
Joseph K Neumann Psychologist, Clinical Robert E Roth Psyd 2511 Wesley St, Johnson City, TN 37601-1723
Amy S Clark Nurse Practitioner Ipc Pac Healthcare Services of Tennessee PC 2511 Wesley St, Johnson City, TN 37601-1723
Robert E Roth Psychologist, Clinical Robert E Roth Psyd 2511 Wesley St, Johnson City, TN 37601-1723
Renette L Davis Nurse Practitioner Southeastern Physician Services PC 2511 Wesley St, Johnson City, TN 37601-1723
Gamal Sami Boutros Neurology 329 Wesley St, Suite 1, Johnson City, TN 37601-1726
Find all physicians in zip 37601

Competitor

Search similar physicians

City JOHNSON CITY
Zip Code 37601
Specialty PHYSICAL THERAPY
City + Specialty JOHNSON CITY + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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