Mary Kathryn Costello, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38096 Issued in FL

Practice address

2595 Tampa Rd Ste V&W
Palm Harbor, FL 34684-3152

Phone

(727) 712-1567

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By 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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Potentia Therapeutics, LLCGroup PAC ID 6103181888, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

86.58

Improvement activities

40

Cost

68.79

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Potentia Therapeutics, LLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1063910982
  Medicare reassignment Care Compare group NPD
• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• Optimal Performance and Physical Therapies Trinity LLC

  • Physical Therapist
  • Trinity, FL
  • NPI 1144734591
  Medicare reassignment NPD
• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment NPD
• Strength and Balance Institute

  • Physical Therapist
  • Aventura, FL
  • NPI 1164077947
  NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1922729219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15118 TRAIL CREEK PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251944",
            "telephone_number": "941-284-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD STE V&W",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843152",
            "telephone_number": "727-712-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Coronado, RPSGT
• Robert James Corris II, PT
• Sandra Farneti Corsetti, DNP, ARNP-BC
• Cosmetic Medicine Enterprises Inc
• Joseph Costello
• Counseling Options LLC
• Countryside Blvd Opco LLC (Aviata at Countryside)
• Countryside Haven Assisted Living
• Countryside Health Care Associates LLC (Countryside Rehab and Healthcare Center)
• Craig Cowart, M.D.

• Physical Therapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.