Active NPI
Kathleen Costello, OT
- Occupational Therapist
- Providence, RI
National Provider Identifier
1871135822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT01855
- Practice address
- 1 Randall SQ Ste 302
Providence, RI 02904-2773 - Phone
- (401) 793-1829
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT01855 | RI | Primary |
Addresses
Primary practice location
1 Randall SQ Ste 302
Providence, RI 02904-2773
Mailing address
903 Providence PL Apt 146
Providence, RI 02903-7003
Phone (203) 848-0175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT01855 | RI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Small Steps Therapy LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1 Randall Sq
Ste 302
Providence, RI 02904
Phone (401) 793-1829
Organizations & group practices 1
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": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1871135822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 PROVIDENCE PL APT 146",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029037003",
"telephone_number": "203-848-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RANDALL SQ STE 302",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042773",
"telephone_number": "401-793-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "KATHLEEN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT01855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.