| Kevin Kostka, PT | |
|
1790 Hamill Rd, Hixson, TN 37343-4905 | |
| (423) 842-9322 | |
| (866) 591-0619 |
| Full Name | Kevin Kostka |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1790 Hamill Rd, Hixson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265494876 | NPI | - | NPPES |
| 4227742 | Other | TN | BCBS TENN |
| 3645730 | Medicaid | TN | |
| 11822955 | Other | TN | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6817 (Tennessee) | Primary |
| Provider Name | Summit Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376796342 PECOS PAC ID: 5799840211 Enrollment ID: O20090217000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Kostka, PT 1790 Hamill Rd, Hixson, TN 37343-4905 Ph: (423) 842-9322 | Kevin Kostka, PT 1790 Hamill Rd, Hixson, TN 37343-4905 Ph: (423) 842-9322 |
Ann R Cupo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1029 Executive Dr, Suite 101, Hixson, TN 37343 Phone: 423-870-1289 Fax: 423-870-6861 | |
Mrs. Yvonne Jeanette Coulter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5035 Hixson Pike, Suite 129, Hixson, TN 37343 Phone: 423-521-4997 Fax: 423-521-4999 | |
Miss Margaret Ellen Leighty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2125 Northpoint Blvd., North River Physical Therapy, Hixson, TN 37343 Phone: 423-875-3376 Fax: 423-875-3451 | |
Gary S Carlson, DPT,MS,SCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2125 Northpoint Blvd, Hixson, TN 37343 Phone: 423-875-3376 | |
Benchmark Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5022 Old Godsey Ln Ste 3, Hixson, TN 37343 Phone: 423-870-3573 Fax: 423-870-3574 | |
Erin Burke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2177 Northpoint Blvd Ste 101, Hixson, TN 37343 Phone: 423-870-1289 Fax: 423-877-6861 | |
Hannah Gibson Norton, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5022 Old Godsey Ln, Suite 3, Hixson, TN 37343 Phone: 423-870-3573 Fax: 423-870-3574 |