Individual provider Active NPI

Joseph Alexander Costner, OTR L

  • Hand Occupational Therapist
  • Charleston, SC
National Provider Identifier
1487120705
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
5378 Issued in SC
Practice address
1483 Tobias Gadson Blvd Ste 205B
Charleston, SC 29407-4641
Phone
(843) 766-6494
Fax
(843) 766-6495
NPI assigned
Oct 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 5378 SC Primary

Addresses

Primary practice location

1483 Tobias Gadson Blvd Ste 205B
Charleston, SC 29407-4641

Mailing address

1483 Tobias Gadson Blvd Ste 205B
Charleston, SC 29407-4641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305002789 SC Practitioner - Occupational Therapist in Private Practice 9830438092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Hand Therapy CenterGroup PAC ID 5193964419, 3 clinicians

Practice addresses (Care Compare)

1483 Tobias Gadson Blvd
Suite 205B
Charleston, SC 29407-4641
Phone (843) 766-6494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5378SCMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Hand Therapy Center Hand CurrentSince Jan 16, 2019 Accepting new patients
Charleston Hand Therapy Center Hand CurrentSince Jan 16, 2019 Accepting new patients

Locations

1483 Tobias Gadson Blvd
Ste 205B
Charleston, SC 29407
Phone (843) 766-6494

119 E 4th North St
Unit A
Summerville, SC 29483
Phone (843) 766-6494

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1487120705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD STE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD STE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074641",
            "telephone_number": "843-766-6494",
            "fax_number": "843-766-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTNER",
        "first_name": "JOSEPH",
        "middle_name": "ALEXANDER",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": "5378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.