Individual provider Active NPI

Rachel L Costantino, DPT

  • Physical Therapist
  • Oxon Hill, MD
National Provider Identifier
1629701271
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014567 Issued in DE
Practice address
6009 Oxon Hill Rd # C
Oxon Hill, MD 20745-3129
Phone
(301) 965-9260
Fax
(240) 557-1405
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0014567 DE Primary

Addresses

Primary practice location

6009 Oxon Hill Rd # C
Oxon Hill, MD 20745-3129

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

118 Atlantic Ave Ste 302
Ocean View, DE 19970-9163
Phone (302) 537-7762

Other identifiers 1

IdentifierTypeStateIssuer
J1-0014567OtherDEPHYSICAL THERAPIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014567DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Mar 26, 2024 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Mar 26, 2024 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Matrix Rehabilitation Delaware, Inc PastSince Jul 1, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

2915 Ridgeway Rd
Manchester, NJ 08759
Phone (732) 657-7900

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

Organizations & group practices 7

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1629701271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 OXON HILL RD # C",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453129",
            "telephone_number": "301-965-9260",
            "fax_number": "240-557-1405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Atlantic Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ocean View",
            "state": "DE",
            "postal_code": "199709163",
            "country_code": "US",
            "telephone_number": "302-537-7762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTANTINO",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL  THERAPIST LICENSE",
            "identifier": "J1-0014567",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.