Active NPI
Paige A McGarry-Costello, PT, DPT
- Physical Therapist
- Kenosha, WI
National Provider Identifier
1225833684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17093-24
- Practice address
- 10320 75TH St Ste D
Kenosha, WI 53142-7525 - Phone
- (800) 974-4378
- Fax
- (630) 515-1536
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 17093-24 | WI | Primary |
Addresses
Primary practice location
10320 75TH St Ste D
Kenosha, WI 53142-7525
Mailing address
24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711
Phone (800) 974-4378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10320 75TH St
Suite D
Kenosha, WI 53142-7525
Phone (800) 974-4378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17093-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
Locations
24014 W Renwick Rd
Ste 206
Plainfield, IL 60544
10320 75th St
Ste D
Kenosha, WI 53142
Phone (262) 909-2820
3825 39th Ave
Ste 110
Kenosha, WI 53144
Phone (262) 605-6810
Organizations & group practices 1
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": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1225833684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24014 W RENWICK RD UNIT 206",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448711",
"telephone_number": "800-974-4378",
"fax_number": "630-515-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10320 75TH ST STE D",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427525",
"telephone_number": "800-974-4378",
"fax_number": "630-515-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGARRY-COSTELLO",
"first_name": "PAIGE",
"middle_name": "A",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17093-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.