Provider Demographics
NPI:1134995236
Name:COSTA, EMILY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:COSTA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:MACHADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:51 HONEYBEE RD
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4363
Mailing Address - Country:US
Mailing Address - Phone:978-866-9573
Mailing Address - Fax:
Practice Address - Street 1:51 HONEYBEE RD
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4363
Practice Address - Country:US
Practice Address - Phone:978-866-9573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215842251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology