Individual provider Active NPI

Robert John Costiera, MS PT

  • Physical Therapist
  • Howard Beach, NY
National Provider Identifier
1235203142
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023738 Issued in NY
Practice address
15803 91St St
Howard Beach, NY 11414-3117
Phone
(718) 848-9400
Fax
(718) 848-7934
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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 023738 NY Primary

Addresses

Primary practice location

15803 91St St
Howard Beach, NY 11414-3117

Mailing address

15803 91St St
Howard Beach, NY 11414-3117
Phone (718) 848-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524001146 NY Practitioner - Physical Therapist in Private Practice 9537150883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15803 91St St
Howard Beach, NY 11414-3117
Phone (718) 848-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
023738NYMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoflex Physical Therapy & Rehabilitation, P.C. CurrentSince Apr 18, 2006 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Jan 7, 2026 Accepting new patients

Locations

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 2

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1235203142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15803 91ST ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143117",
            "telephone_number": "718-848-9400",
            "fax_number": "718-848-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15803 91ST ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143117",
            "telephone_number": "718-848-9400",
            "fax_number": "718-848-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIERA",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.