Christina Nicole Costanzo, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC017954 Issued in PA

Practice address

638 Brandywine Pkwy
West Chester, PA 19380-4278

Phone

(610) 436-3600

NPI assigned

Oct 13, 2021

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)

Not 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.

• Theraplay, LLC

  • Clinic/Center
  • West Chester, PA
  • NPI 1982032793
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1619639945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 ENTERPRISE DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 BRANDYWINE PKWY",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804278",
            "telephone_number": "610-436-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANZO",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Corradetti
• Kathleen Corso
• Courtney Letitia Marie Cosby, MSW
• Anthony T Cosenzo
• Elizabeth G. Cossaboon, M.S
• Michael R Costello, MD
• Kathleen Coultes
• Nicole Marie Coultes, CRNA
• Matthew Joseph Counihan, NP-C
• Counseling for Change

• Occupational Therapist in West Chester, PA
• Providers in West Chester, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.