Christopher Kevin Costello, PT, DPT, SCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028277 Issued in NY

Practice address

127 West 30TH Street
New York, NY 10001-4001

Phone

(212) 967-5838

Fax

(212) 967-5786

NPI assigned

Feb 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• American Edge Physical Therapy, P.C.

  • Physical Medicine & Rehabilitation Physician
  • East Meadow, NY
  • NPI 1679173579

  Physical Therapist

  Medicare reassignment NPD
• Fusion - Osmed Mso, LLC

  • Physical Therapy Clinic/Center
  • Needham, MA
  • NPI 1285451765
  NPD (past)
• Orthosports & Aquatic Physical Therapy, PC

  • Physical Therapist
  • Needham, MA
  • NPI 1407803935
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1285760421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EARLE OVINGTON BLVD",
            "address_2": "SUITE 225",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533610",
            "telephone_number": "516-321-2424",
            "fax_number": "516-321-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WEST 30TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014001",
            "telephone_number": "212-967-5838",
            "fax_number": "212-967-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "CHRISTOPHER",
        "middle_name": "KEVIN",
        "credential": "PT, DPT, SCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35392",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Costea, PA-C
• Denisa Maria Costea, DO
• Kathleen Costello Bar-Tur, LCSW
• Antonia Costello, LCSW
• Bryan Patrick Costello, MS, ATC
• Devon Elizabeth Costello
• Dolores Costello, N.P.
• Joseph Patrick Costello, PT, DPT
• Kristian Costello
• Lauren Costello, FNP

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.