Active NPIIndividual provider

Michael Costello, DPT

Physical Therapist in Storrs, Connecticut

NPI Number1255098968
Practice location
9 Dog Ln Ste 108, Storrs, CT 06268-2239
Fax
—
Last updated
November 29, 2021

Michael Costello is a Physical Therapist based in Storrs, CT. Michael Costello practices in Storrs, CT and has the professional credentials of DPT. The NPI Number for Michael Costello is 1255098968 and holds a License No. 13390 (CT). The current practice location address for Michael Costello is 9 Dog Ln Ste 108, Storrs, CT 06268-2239 and can be reached out via phone at 860-429-0899.

Provider Profile Details

NPI Number
1255098968
Provider Name
Michael Costello
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
9 Dog Ln Ste 108, Storrs, CT 06268-2239
Phone Number
860-429-0899
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 17, 2021
Last Update Date
November 29, 2021
Certification Date
November 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Dog Ln Ste 108
Storrs, CT 06268-2239
City
Storrs
Zip
06268-2239
Phone Number
860-429-0899
Storrs, CT 06268Get directions →

Provider Business Mailing Address Details

Address
108 Edgewater Dr
Coventry, CT 06238-2704
City
Coventry
State
CT
Zip
06238-2704
Phone Number
203-561-5235

License Information

License Number
13390
License State
CT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Costello, DPT?

The NPI number of Michael Costello, DPT is 1255098968. It was assigned on November 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Michael Costello, DPT?

Michael Costello, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 13390.

Where does Michael Costello, DPT practice?

The practice location is 9 Dog Ln Ste 108, Storrs, CT 06268-2239. The office can be reached at 860-429-0899 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255098968 directly on the NPPES registry website.

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