Michaela Costello, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

54 Harvard St
Brookline, MA 02445-7940

Phone

(617) 262-0030

NPI assigned

Jul 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4

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.

• Boston Sports Medicine Inc

  • Physical Therapist
  • Allston, MA
  • NPI 1245217546
  NPD

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1134966997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021340003",
            "telephone_number": "617-262-0030",
            "fax_number": "617-623-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457940",
            "telephone_number": "617-262-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MICHAELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Marie Correll
• Rachel C Cortright
• Patricia Cossio, M.D.
• Ligia Costa Xavier Burke
• Brynne Kathleen Costa, PHARMD
• William Patrick Cotrone, PT
• Thomas Cottle
• Heather Arlene Coubrough, DMD
• Janet L. Coupe, PT
• Heather Cournoyer, PHARMD

• Physical Therapist in Brookline, MA
• Providers in Brookline, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.