Individual ProviderLorraine CostaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4353 Hylan Blvd, Devita Becker Physical Therapy Pc, Staten Island, NY 10312(718) 967-3363PECOS EnrollmentBased on the most recent information from CMS, provider Lorraine Costa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1952479107Provider TypeIndividualFull NameCosta, LorraineTitleMs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date12/4/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4353 Hylan Blvd, Devita Becker Physical Therapy Pc, Staten Island, NY 10312Phone(718) 967-3363Fax(718) 967-5437Mailing LocationMailing Address4353 Hylan Blvd, In Care Of Devita Becker Physical Therapy Pc, Staten Island, NY 10312Phone(718) 967-3363Fax(718) 967-5437Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense0131771New York