Individual provider Active NPI

Charles Thomas Costello, P.T., C.H.T.

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1962614792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1046498 Issued in TX
Practice address
Texas Woman'S University
6700 Fannin St
Houston, TX 77030-2343
Phone
(713) 794-2070
Fax
(713) 794-2071
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1046498 TX Primary

Addresses

Primary practice location

Texas Woman'S University
6700 Fannin St
Houston, TX 77030-2343

Mailing address

17614 Cassina Dr
Spring, TX 77388-5789
Phone (281) 350-1223

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

LicenseStateTypeSpecialty
1046498TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apt Enterprises, LLC Physical Therapist Past Accepting new patients

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962614792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17614 CASSINA DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773885789",
            "telephone_number": "281-350-1223",
            "fax_number": "713-794-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEXAS WOMAN'S UNIVERSITY",
            "address_2": "6700 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302343",
            "telephone_number": "713-794-2070",
            "fax_number": "713-794-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "P.T., C.H.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1046498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.