BRANT EDWARD COSTILLA (NPI# 1316554595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316554595 |
| Entity Type | Individual |
| Full Name | BRANT EDWARD COSTILLA |
| Credential | PTA |
| Practice Address |
2112 Forum Pkwy Bedford TX 76021-6028 |
| Mailing Address |
1814 Wood Duck Ct Midlothian TX 76065-9427 |
| Practice Telephone | 8177994909 |
| Mailing Telephone | 4692227619 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2131372 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2112 FORUM PKWY |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-6028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610977 | Hamilton County Hospital District | Skilled Nursing Facility | 2112 Forum Pkwy, Bedford, TX 76021-6028 | 2016-02-25 |
| 1073095600 | Archana Patel | Physical Therapist | 2112 Forum Pkwy, Bedford, TX 76021-6028 | 2018-08-30 |
| 1477035129 | Juan Wu | Occupational Therapist | 2112 Forum Pkwy, Bedford, TX 76021-6028 | 2018-08-29 |
| 1770091449 | Anastasia Martinez | Speech-Language Pathologist | 2112 Forum Pkwy, Bedford, TX 76021-6028 | 2018-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114419223 | Kevin Penn | Physical Therapy Assistant | 311 Spring Hill Cir, Bedford, VA 24523-5457 | 2018-06-04 |
| 1649723529 | Gina Rievel | Physical Therapy Assistant | 320 E Watson Street, Bedford, PA 15522 | 2016-07-27 |
| 1053788091 | Alana Smith | Physical Therapy Assistant | 40 Nh 101, Bedford, NH 03110-6057 | 2015-08-25 |
| 1215312608 | Sara Anger | Physical Therapy Assistant | 2350 Airport Fwy Ste 455, Bedford, TX 76022-4011 | 2015-07-27 |
| 1194128926 | Amy Nicole Forbes | Physical Therapy Assistant | 931 Ashland Ave, Bedford, VA 24523-1301 | 2014-10-07 |
| 1477952505 | Lauren Cornell | Physical Therapy Assistant | 1086 Sherry Rd, Bedford, PA 15522-4624 | 2014-08-14 |
| 1891057725 | Patricia Strain | Physical Therapy Assistant | 1192 Crest Rdg, Bedford, VA 24523-3282 | 2012-06-15 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1073837407 | Laura Pfaff Podyma | Physical Therapy Assistant | 1225 Hosta Ln, Bedford, VA 24523-4976 | 2010-03-14 |
| 1871795260 | Rosemary Toye | Physical Therapy Assistant | 177 S River Rd, Bedford, NH 03110-6932 | 2007-06-05 |
| Find all providers in BEDFORD | ||||
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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.