Individual provider Active NPI

Julie Marie Costigan, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1104607712
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051072 Issued in NY
Practice address
60 Reade St
New York, NY 10007-1844
Phone
(212) 924-4920
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 051072 NY Primary

Addresses

Primary practice location

60 Reade St
New York, NY 10007-1844

Mailing address

559 Saint Johns PL
Brooklyn, NY 11238-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307003948 NY Practitioner - Physical Therapist in Private Practice 0345686770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Optimized Independence OT PLLCGroup PAC ID 4183996390, 14 clinicians
James Fowler PT PCGroup PAC ID 5597655175, 3 clinicians

Practice addresses (Care Compare)

78 Reed Dr
Roslyn, NY 11576-3216
Phone (718) 490-2014

873 Broadway
Suite 501
New York, NY 10003-1208
Phone (212) 253-9383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051072NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Physical Therapy and Sports Wellness P.C. Physical Therapist CurrentSince Jan 27, 2024 Accepting new patients
James Fowler PT., PC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Optimized Independence OT PLLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients

Locations

60 Reade St
New York, NY 10007
Phone (212) 924-4920

873 Broadway
Ste 501
New York, NY 10003
Phone (212) 253-9383

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1104607712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 SAINT JOHNS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 READE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071844",
            "telephone_number": "212-924-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIGAN",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.