Dr Kimberly A Costello, PT, DPT | |
3915 Bristol Hwy, Ste 301, Johnson City, TN 37601-1403 | |
(423) 262-0020 | |
(423) 262-0057 |
Full Name | Dr Kimberly A Costello |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 3915 Bristol Hwy, Johnson City, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336143833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251N0400X | Physical Therapist - Neurology | PT2422 (Tennessee) | Primary |
2251X0800X | Physical Therapist - Orthopedic | PT2422 (Tennessee) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Ridge Physical Therapy, Inc. | 4183753841 | 2 |
Provider Name | Blue Ridge Physical Therapy, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841379914 PECOS PAC ID: 4183753841 Enrollment ID: O20100519000281 |
Mailing Address | Practice Location Address |
---|---|
Dr Kimberly A Costello, PT, DPT 3915 Bristol Hwy, Ste 301, Johnson City, TN 37601-1403 Ph: (423) 262-0020 | Dr Kimberly A Costello, PT, DPT 3915 Bristol Hwy, Ste 301, Johnson City, TN 37601-1403 Ph: (423) 262-0020 |
Lauren Hope Campbell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3915 Bristol Hwy Ste 301, Johnson City, TN 37601 Phone: 423-556-8943 | |
Alexis Beach, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2312 Knob Creedk Rd Ste 200, Johnson City, TN 37604 Phone: 423-232-8302 | |
Dr. Hannah Michelle Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 E Mountain View Rd, Johnson City, TN 37601 Phone: 423-291-0234 | |
Amanda M Minick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1043 Jack Vest Dr, Johnson City, TN 37614 Phone: 423-439-4044 | |
Jacqueline Ann White, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 612 Lyle St Ste 118, Johnson City, TN 37604 Phone: 423-328-3156 | |
Jessica Story, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3209 Bristol Hwy, Johnson City, TN 37601 Phone: 423-282-3311 | |
Olivia Cathryn Boles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3135 Peoples St Ste 404, Johnson City, TN 37604 Phone: 423-454-1006 |