Lindsay Marie Costello, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2362 Issued in AK

Practice address

4001 Geist Rd
Ste 12
Fairbanks, AK 99709-3569

Phone

(907) 374-1981

Fax

(907) 374-1983

NPI assigned

Nov 12, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

• Better World Development

  dba Alaska Brain and Spine

  • Health Service Clinic/Center
  • Fairbanks, AK
  • NPI 1487103982
  NPD
• Equinox, Inc

  dba Equinox Physical Therapy

  • Clinic/Center
  • Fairbanks, AK
  • NPI 1972643138
  NPD (past)
• Babar Enterprises LLC

  dba Excel Sports & Physical Therapy

  • Physical Therapist
  • Creve Coeur, MO
  • NPI 1033178827
  NPD (past)
• Babar Enterprises LLC

  dba Excel Sports and Physical Therapy

  • Physical Therapist
  • Warrenton, MO
  • NPI 1548425002
  NPD (past)

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1306090766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 GEIST RD",
            "address_2": "STE 12",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093569",
            "telephone_number": "907-374-1981",
            "fax_number": "907-374-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 GEIST RD",
            "address_2": "STE 12",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093569",
            "telephone_number": "907-374-1981",
            "fax_number": "907-374-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Hearing Aid #1342)
• Costello Chiropractic LLC
• Daniel Costello, D.C.
• Ian Joseph Costello
• Joshua Andrew Costello, DC
• John Cotter, RPH
• Joyce Coty, RN
• Kiel Patrick Couch, RN
• Counseling Collective of Alaska LLC
• Counseling Cove of Alaska, LLC

• Physical Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.