Individual provider Active NPI

Scott W Costello, OTR

  • Occupational Therapist
  • Huntington Beach, CA
National Provider Identifier
1669534590
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0108771 Issued in NY
Practice address
16152 Beach Blvd
Suite 231
Huntington Beach, CA 92647-3806
Phone
(714) 842-6202
Fax
(714) 842-6762
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0108771 NY Primary

Addresses

Primary practice location

16152 Beach Blvd
Suite 231
Huntington Beach, CA 92647-3806

Mailing address

16152 Beach Blvd
Suite 231
Huntington Beach, CA 92647-3806
Phone (714) 842-6202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000512 CA Practitioner - Occupational Therapist in Private Practice 5193902526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands on Hands Rehabilitation Center, IncGroup PAC ID 5991731655, 4 clinicians

Practice addresses (Care Compare)

16152 Beach Blvd
Suite 140
Huntington Beach, CA 92647-3861
Phone (714) 842-6202

1700 Adams Ave
Costa Mesa, CA 92626-4865
Phone (714) 556-2288

4772 Katella Ave
Suite 100
Los Alamitos, CA 90720-2681
Phone (562) 430-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0108771NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Hands Rehabilitation Center, Inc CurrentSince Apr 23, 2011 Accepting new patients
Hands on Hands Rehab Center Inc. Past Accepting new patients
Hands on Hands Rehabilitation Center, Inc. Occupational Therapist Past Accepting new patients

Locations

1700 Adams Ave
Ste 103
Costa Mesa, CA 92626
Phone (714) 556-2288

Interoperability endpoints

  • Direct secure messaging: scott.costello.p46@direct.newportmed.nextgenshare.com
  • Direct secure messaging: scott.costello.p29@direct.newportmed.nextgenshare.com

Organizations & group practices 3

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1669534590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16152 BEACH BLVD",
            "address_2": "SUITE 231",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473806",
            "telephone_number": "714-842-6202",
            "fax_number": "714-842-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16152 BEACH BLVD",
            "address_2": "SUITE 231",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473806",
            "telephone_number": "714-842-6202",
            "fax_number": "714-842-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "SCOTT",
        "middle_name": "W",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0108771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.