Michelle R Costello, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

429 Manor Dr
Suite 10
Ebensburg, PA 15931-4917

Phone

(814) 472-1293

NPI assigned

Oct 20, 2010

Last updated

Sep 23, 2016By 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

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1659681807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 MANOR DRIVE",
            "address_2": "SUITE 10",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "15931",
            "telephone_number": "814-472-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MANOR DR",
            "address_2": "SUITE 10",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314917",
            "telephone_number": "814-472-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Connell, RN
• Kimberly Eva Cope, RN
• Erica D Coppersmith, MSW
• Trista Liane Cory, BS
• Robert F Cosharek, MD
• County of Cambria (Laurel Crest Rehabilitation and Special Care Center)
• David Michael Cronauer, D.C.
• Jodi Rae Cronauer, D.C.
• Nicole Lynn Crowell, M.ED.
• Cynthia Cunningham

• Occupational Therapist in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.