Mark Adrian Costello, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 14046 Issued in CA

Practice address

7510 Clairemont Mesa Blvd
Suite 103
San Diego, CA 92111-1539

Phone

(858) 277-2277

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Care Physical Therapy, PCGroup PAC ID 5890972335, 174 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• All Care Physical Therapy, P.C.

  • Physical Therapist
  • Woodland Hills, CA
  • NPI 1104120385
  Medicare reassignment Care Compare group NPD
• Innovative Physical Therapy Inc

  • Orthopedic Physical Therapist
  • San Diego, CA
  • NPI 1821047580
  NPD (past)
• The Hand & Upper Extremity Center Inc

  • Hand Occupational Therapist
  • Simi Valley, CA
  • NPI 1730360561

  Physical Therapist

  NPD (past)
• Wilcox Physical Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Anaheim, CA
  • NPI 1245251511

  Physical Therapist

  NPD (past)
• Slptele LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1497393557

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1710193602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921660306",
            "telephone_number": "619-222-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 CLAIREMONT MESA BLVD",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111539",
            "telephone_number": "858-277-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MARK",
        "middle_name": "ADRIAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 14046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Costello, M.D.
• Cara Michelle Costello
• Christine Costello
• Heather Costello, CPSS
• James W. Costello, M.D.
• Patricia Costello
• Patricia Jewell Costello, BS
• Diane Kathleen Costigan, C.A.T.C
• Kevin Michael Costigliola, RN
• Natalie Costilla, BCBA

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.