Active NPI
Aylin Costello, PHYSICAL THERAPIST
- Physical Therapist
- Bethel, CT
National Provider Identifier
1255857322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2 Fawn Rd
Bethel, CT 06801-2718 - Phone
- (347) 581-3535
- NPI assigned
- Aug 20, 2017
- 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 | Primary |
Addresses
Primary practice location
2 Fawn Rd
Bethel, CT 06801-2718
Mailing address
2 Fawn Rd
Bethel, CT 06801-2718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1255857322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FAWN RD",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FAWN RD",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012718",
"telephone_number": "347-581-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "AYLIN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-20",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.