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.
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 |
Address | Phone | Organization |
---|---|---|
3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 | 4232620020 | BLUE RIDGE PHYSICAL THERAPY, INC. |
Organization Legal Name | BLUE RIDGE PHYSICAL THERAPY, INC. |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa L Fahn | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
Street Address |
3915 BRISTOL HWY SUITE 301 |
City | JOHNSON CITY |
State | TN |
Zip | 37601-1403 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa L Fahn | Physical Therapy | Blue Ridge Physical Therapy, Inc. | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1403 |
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 |
City | JOHNSON CITY |
Zip Code | 37601 |
Specialty | PHYSICAL THERAPY |
City + Specialty | JOHNSON CITY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kimberly A Costello.
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.