MR. THOMAS JOHN COSTELLO JR. MOTR/L
NPI 1053123729
Occupational Therapist in Spokane Valley, WA

Active since January 21, 2025Accepts Medicare Assignment
16528 E DESMET CT STE B2200, SPOKANE VALLEY, WA 99216(509) 944-8920 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Thomas John Costello Jr. Motr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS JOHN COSTELLO JR. MOTR/L (NPI 1053123729) is an individual occupational therapist in Spokane Valley, Washington, licensed in Washington (OT61647885) and active in the NPI registry since January 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1053123729
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. THOMAS JOHN COSTELLO JR.Credential: MOTR/L
Location Address16528 E DESMET CT STE B2200Spokane Valley, WA 99216-3522
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 21, 2025
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1053123729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in WA · OT61647885
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
16528 E DESMET CT STE B2200, Spokane Valley, WA 99216

Other Names 1

Professional Name (2)Mr. Tommy John Costello Motr/l

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas John Costello Jr. Motr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850864661
PECOS Enrollment IDI20260623005013

Medicare Billing Reassignment

Medicare enrollment records show Thomas Costello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
2923 E 29TH AVE
Spokane, WA 99223
  • Reassigned Medicare billing, Washington enrollment
  • 862 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Hand)
16528 E DESMET CT STE B2200
SPOKANE VALLEY, WA 99216
Physician Assistant
16528 E DESMET CT STE B2200
SPOKANE VALLEY, WA 99216
Physician Assistant (Medical)
16528 E DESMET CT STE B2200
SPOKANE VALLEY, WA 99216
Occupational Therapist
16528 E DESMET CT STE B2200
SPOKANE VALLEY, WA 99216
Physician Assistant (Surgical)
16528 E DESMET CT STE B2200
SPOKANE VALLEY, WA 99216
Physician Assistant
16528 E DESMET CT STE B2200
SPOKANE VALLEY, WA 99216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Costello's NPI number?

The NPI number for Thomas Costello is 1053123729. It was assigned to this individual provider in the NPPES registry on January 21, 2025. The provider is also known as Mr. Tommy John Costello Motr/L.

Where is Thomas Costello located?

Thomas Costello practices at 16528 E Desmet Ct Ste B2200, Spokane Valley, WA 99216. The listed phone number is (509) 944-8920.

What is Thomas Costello's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Thomas Costello enrolled in Medicare?

Yes. Thomas Costello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thomas Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Costello reassigns Medicare benefits to Providence Health & Services Washington (Spokane, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Costello accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thomas Costello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Costello was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.