Andrea Lynn Costello, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020654 Issued in PA

Practice address

5930 Old French Rd
Erie, PA 16509-3656

Phone

(814) 860-7816

NPI assigned

Mar 5, 2019

Last updated

Aug 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashley & Kuzma Therapeutics, P.C.

  • Specialist
  • Erie, PA
  • NPI 1720004179

  Physical Therapist

  Medicare reassignment NPD
• Linden Oaks Physical Therapy, PLLC

  • Physical Therapist
  • Rochester, NY
  • NPI 1245368976
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1073071452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 OLD FRENCH RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093656",
            "telephone_number": "814-860-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 OLD FRENCH RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093656",
            "telephone_number": "814-860-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT005916",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020654",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corry National Pharmacy Systems, LLC
• Gary Cortina
• Julia D Coseo, PA-C
• Irma Cosic, PA-C
• Kathleen A Costanzo, DO
• Craig C Costello, D.C.
• Kortnie Cotter
• Douglas L Cottrell, PT
• Kimberley Ann Coughlin, M.A.
• Andrew Mark Coulter, M.D.

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.