MICHAEL JOHN COSTELLO PT
NPI 1649593211
Physical Therapist - Orthopedic in Ithaca, NY

NPI Status: Active since March 10, 2010

Contact Information

310 TAUGHANNOCK BLVD
ITHACA, NY
ZIP 14850
Phone: (607) 252-3500
Fax: (607) 252-3505

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  • Individual
  • Male
  • Physical Therapist
  • Orthopedic

About MICHAEL COSTELLO

This page provides the complete NPI Profile along with additional information for Michael Costello, a provider established in Ithaca, New York with a medical specialization in Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1649593211 assigned on March 2010. The practitioner's primary taxonomy code is 2251X0800X with license number 017819-1 (NY). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1649593211
Provider Name
MICHAEL JOHN COSTELLO PT
Gender
Male
Entity Type
Individual
Location Address
310 TAUGHANNOCK BLVD ITHACA, NY 14850
Location Phone
(607) 252-3500
Location Fax
(607) 252-3505
Mailing Address
310 TAUGHANNOCK BLVD ITHACA, NY 14850
Mailing Phone
(607) 252-3500
Mailing Fax
(607) 252-3505
Is Sole Proprietor?
No
Enumeration Date
03-10-2010
Last Update Date
03-10-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
017819-1
License State
NY
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
22-2325405OTHER (01)NYEMPLOYER FEDERAL TAX IDENTIFICATION CAYUGA MEDICAL CENTER AT ITHACA
00332729MEDICAID (05)NY 
33-0307MEDICARE PIN (08)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649593211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689109622
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 0 + 9 + 6 + 2 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1649593211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407827926DR. ANDREW MONNOYER JORDAN PT, DPT, OCS
Individual
Physical Therapist (Orthopedic)310 TAUGHANNOCK BLVD
ITHACA, NY 14850
(607) 252-3500
1699740738 STEPHANIE L GOODWIN DO
Individual
Internal Medicine (Interventional Cardiology)310 TAUGHANNOCK BLVD 4TH FLOOR
ITHACA, NY 14850
(607) 269-0100
1417902958DR. JONATHAN FRANK MAUSER MD
Individual
Internal Medicine (Cardiovascular Disease)310 TAUGHANNOCK BLVD 4TH FLOOR
ITHACA, NY 14850
(607) 269-0100
1962458406DR. ANDREW GETZIN MD
Individual
Family Medicine (Sports Medicine)310 TAUGHANNOCK BLVD SUITE 5A
ITHACA, NY 14850
(607) 252-3580
1083651285 QUTAYBEH S MAGHAYDAH MD
Individual
Internal Medicine (Cardiovascular Disease)310 TAUGHANNOCK BLVD 4TH FLOOR
ITHACA, NY 14850
(607) 269-0100
1871683003CREATIVE ORTHOTICS & PROSTHETICS, INC.
Organization
Prosthetic/Orthotic Supplier310 TAUGHANNOCK BLVD SUITE 1A
ITHACA, NY 14850
(607) 277-6620
1114143419 LISA PROCTOR NP
Individual
Nurse Practitioner (Acute Care)310 TAUGHANNOCK BLVD
ITHACA, NY 14850
(607) 252-3590
1235359076MRS. KERRY P PETERS PT
Individual
Physical Therapist310 TAUGHANNOCK BLVD
ITHACA, NY 14850
(607) 252-3500
1588862395ANDREW R. GETZIN, M.D., P.C.
Organization
Family Medicine (Sports Medicine)310 TAUGHANNOCK BLVD SUITE 5A
ITHACA, NY 14850
(607) 252-3580
1508016650MS. MYRA J BERKOWITZ MNS, RD, CDN
Individual
Dietitian, Registered310 TAUGHANNOCK BLVD ISLAND HEALTH CENTER, 5B
ITHACA, NY 14850
(607) 252-3590
1811210859 JEFFREY SCOTT ANDREWS MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)310 TAUGHANNOCK BLVD SUITE 5A
ITHACA, NY 14850
(607) 252-3580
1376866269 BRIAN THOMAS LEE PT
Individual
Physical Therapist (Sports)310 TAUGHANNOCK BLVD
ITHACA, NY 14850
(607) 252-3500
1811210388CAYUGA MEDICAL CENTER
Organization
General Acute Care Hospital310 TAUGHANNOCK BLVD SUITE 1C
ITHACA, NY 14850
(607) 252-3500
1477877876CAYUGA MEDICAL CENTER
Organization
General Acute Care Hospital (Rural)310 TAUGHANNOCK BLVD
ITHACA, NY 14850
(607) 252-3500
1467772350DR. JOHN JOSEPH WINSLOW DPT
Individual
Physical Therapist310 TAUGHANNOCK BLVD
ITHACA, NY 14850
(607) 252-3500
1477840346MS. KRISTA MUGFORD R.D, C.D.N
Individual
Dietitian, Registered310 TAUGHANNOCK BLVD SUITE 3
ITHACA, NY 14850
(607) 252-3590
1134492671 BROOKE FRUECHTL DPT
Individual
Physical Therapist310 TAUGHANNOCK BLVD
ITHACA, NY 14850
(607) 252-3500
1093054884 MAXWELL CANTOR PT, DPT
Individual
Physical Therapist (Orthopedic)310 TAUGHANNOCK BLVD PHYSICAL THERAPY
ITHACA, NY 14850
(607) 252-3500
1275921553 TIMOTHY REYNOLDS DPT
Individual
Physical Therapist310 TAUGHANNOCK BLVD
ITHACA, NY 14850
(607) 252-3500
1295700862DR. MARCIS TOTS SODUMS MD
Individual
Internal Medicine (Interventional Cardiology)310 TAUGHANNOCK BLVD SUITE 4
ITHACA, NY 14850
(607) 269-0100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649593211, enumerated in the NPI registry as an "individual" on March 10, 2010

The provider is located at 310 Taughannock Blvd Ithaca, Ny 14850 and the phone number is (607) 252-3500

The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 10, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.