Michael Costello, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13390 Issued in CT

Practice address

9 Dog LN Ste 108
Storrs, CT 06268-2239

Phone

(860) 429-0899

NPI assigned

Nov 17, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Male

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ptsma IncGroup PAC ID 7911800180, 173 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ptsma, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Pawcatuck, CT
  • NPI 1033773759

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ptsma Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Manchester, CT
  • NPI 1619393337
  NPD
• Ptsma, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • New Haven, CT
  • NPI 1306472576
  NPD
• Select Physical Therapy of Connecticut Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Storrs, CT
  • NPI 1639148125
  NPD (past)
• Select Physical Therapy of Connecticut Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Hebron, CT
  • NPI 1790339992

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1255098968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EDGEWATER DR",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062382704",
            "telephone_number": "203-561-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DOG LN STE 108",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682239",
            "telephone_number": "860-429-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Cohen, LCSW
• Ciara Collins
• Cristina M Colon-Semenza, MPT
• Connecticut CVS Pharmacy LLC (CVS Pharmacy #10317)
• Laurie Cooper, LCSW
• Catie Dann
• Kenneth R Dardick, MD
• Noelle Marie Davis, AU.D.
• Michelle Dawiczyk, PA-C
• Mary Day, APRN

• Physical Therapist in Storrs, CT
• Providers in Storrs, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.