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CONNOR COSTALES
NPI 1053172072
Physical Therapist - Sports in Concord, MA

Active since January 17, 2024Accepts Medicare Assignment
50 BEHARRELL ST STE D, CONCORD, MA 01742(617) 932-1027 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Connor Costales NPPES

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

CONNOR COSTALES (NPI 1053172072) is an individual sports provider in Concord, Massachusetts and active in the NPI registry since January 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1053172072
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameCONNOR COSTALES
Location Address50 BEHARRELL ST STE DConcord, MA 01742-1750
Mailing Address107 College RdConcord, MA 01742-1526
Phone(617) 932-1027
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1053172072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
50 BEHARRELL ST STE D, Concord, MA 01742
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Connor Costales 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 ID6507203171
PECOS Enrollment IDI20240319003119

Medicare Billing Reassignments

2

Medicare enrollment records show Connor Costales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boston Sports Medicine Inc
15 mi
Physical Therapist
1 BRAINTREE ST ST
Allston, MA 02134
  • Reassigned Medicare billing, Massachusetts enrollment
  • 36 clinicians in this Medicare group
NPI 1245217546 (617) 787-8700
Bay State Physical Therapy Of Randolph Inc
23 mi
Chiropractor
111 WILLARD ST STE 2A
Quincy, MA 02169
  • Reassigned Medicare billing, Massachusetts enrollment
  • 703 clinicians in this Medicare group
NPI 1316507627 (617) 471-4491

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
130 services19 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
98 services18 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
73 services16 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
21 services18 patients

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 Connor Costales's NPI number?

The NPI number for Connor Costales is 1053172072. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Where is Connor Costales located?

Connor Costales practices at 50 Beharrell St Ste D, Concord, MA 01742. The listed phone number is (617) 932-1027.

What is Connor Costales's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Connor Costales enrolled in Medicare?

Yes. Connor Costales 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 organizations bill Medicare for Connor Costales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Costales reassigns Medicare benefits to 2 organizations: Boston Sports Medicine Inc (Allston, MA) and Bay State Physical Therapy Of Randolph Inc (Quincy, MA). Each 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 Connor Costales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Connor Costales was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.