Shelagh Costello, OT
Individual provider Active NPI Occupational Therapist · Casco, ME
NPI 1013306091 · NPPES record last updated Jan 14, 2015
Key facts
- NPI
- 1013306091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 11007 (MA)
- Practice address
- 3 Glen Dr
Casco, ME 04015-3833 - Phone
- (800) 995-2673
- Fax
- (888) 979-6551
- NPI assigned
- Jan 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11007 | MA | MD | Psychologist |
| OT01406 | RI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excella Homecare, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11007 | MA | Yes |
| Occupational Therapist | 225X00000X | OT01406 | RI |
Addresses
Primary practice location
3 Glen Dr
Casco, ME 04015-3833
Mailing address
3 Glen Dr
Casco, ME 04015-3833
Phone (800) 995-2673
Other providers in Casco, ME
- Alaimo Healthcare, LLC
- Casco Assisted Living
- Catch-Wim LLC
- Country Village Assisted Living
- Deerspring Wellness, LLC
- Ecsel Speech & Language Services
- Firstlight Homecare
- Health Care Resource Center
All providers in Casco, ME · Occupational Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.