Active NPI
Julie Marie Costigan, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1104607712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051072 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Physical Therapy and Sports Wellness P.C. | Physical Therapist | Current | Accepting new patients |
| James Fowler PT., PC | Physical Therapist | Current | Accepting new patients |
| Optimized Independence OT PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- New York, NY
- NPI 1629196514
-
- Physical Therapist
- New York, NY
- NPI 1316927627
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.