Kathryn Costanzo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9455 Issued in CT

Practice address

44 Dale Rd
Suite 203
Avon, CT 06001-4315

Phone

(860) 674-1713

Fax

(860) 674-1848

NPI assigned

Jul 12, 2012

Last updated

Jul 12, 2012By the provider in NPPES

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

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.

• Anb-Ptsma Holdings, Inc.

  dba Physical Therapy & Sports Medicine Centers

  • Physical Therapist
  • West Hartford, CT
  • NPI 1659453371
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1548525835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE",
            "address_2": "SUITE 303",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321909",
            "telephone_number": "860-409-4595",
            "fax_number": "860-409-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DALE RD",
            "address_2": "SUITE 203",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014315",
            "telephone_number": "860-674-1713",
            "fax_number": "860-674-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANZO",
        "first_name": "KATHRYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Corredine, DO
• Rebecca Corridori
• Audrey Harrington Corvino, FNP
• Jeanmarie Cosgrove, D.M.D.
• Arthur Cosmas
• Lauren Coughlin, OTR/L
• Counseling Centers of New England LLC
• Allison Anne Couture, RN, ACNP, MS
• Dina Cowles, LCSW
• Alicia Cox, MA,CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.