| Michael Costello, DPT | |
|
9 Dog Ln Ste 108, Storrs, CT 06268-2239 | |
| (860) 429-0899 | |
| Not Available |
| Full Name | Michael Costello |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 9 Dog Ln Ste 108, Storrs, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255098968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13390 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ptsma Inc | 7911800180 | 173 |
| Provider Name | Ptsma Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Costello, DPT 108 Edgewater Dr, Coventry, CT 06238-2704 Ph: (203) 561-5235 | Michael Costello, DPT 9 Dog Ln Ste 108, Storrs, CT 06268-2239 Ph: (860) 429-0899 |
Shea Frady, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Dog Ln Ste 108, Storrs, CT 06268 Phone: 860-429-0899 |
Colleen Bonadies, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 843 Bolton Rd, Storrs, CT 06269 Phone: 860-486-8080 Fax: 860-486-8081 |
Amy Nicole Sieczkowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Dog Ln, Suite 108, Storrs, CT 06268 Phone: 860-429-0899 |
Dustin Yaworski, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9 Dog Ln Ste 108, Storrs, CT 06268 Phone: 860-429-0899 Fax: 860-429-0898 |
Lorraine Lucio Catuccio, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Warren Cir, Storrs, CT 06268 Phone: 487-860-2300 |
Mary Walsh-scott, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 9 Dog Ln Ste 108, Storrs, CT 06268 Phone: 860-429-0899 Fax: 860-429-0898 |
Sarah Hixon, PT, DPT, SCS, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2095 Hillside Rd Unit 1173, Storrs, CT 06269 Phone: 860-486-0055 Fax: 860-486-5277 |