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

Q: What is Michael Costello's NPI number?

The NPI number for Michael Costello is 1649593211. It was assigned to this individual provider in the NPPES registry on March 10, 2010.

Q: What is Michael Costello's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Michael Costello was last updated on March 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 10, 2010

310 TAUGHANNOCK BLVD, ITHACA, NY 14850(607) 252-3500(607) 252-3505 Get Directions Write a Review

NPPES record last updated: March 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael John Costello Pt NPPES

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

MICHAEL JOHN COSTELLO PT (NPI 1649593211) is an individual orthopedic provider in Ithaca, New York, licensed in New York (017819-1) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1649593211

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMICHAEL JOHN COSTELLOCredential: PT

Location Address310 TAUGHANNOCK BLVDIthaca, NY 14850-3251

Mailing Address310 Taughannock BlvdIthaca, NY 14850-3251 · (607) 252-3500 · Fax (607) 252-3505

Phone(607) 252-3500

Fax(607) 252-3505

Sole ProprietorNo

Enumeration DateMarch 10, 2010

✔ NPI 1649593211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in NY · 017819-1

Definition

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.

310 TAUGHANNOCK BLVD, Ithaca, NY 14850

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Other Identifiers 3

Other22-2325405NY · Employer Federal Tax Identification Cayuga Medical Center At Ithaca

Medicaid00332729NY

Medicare PIN33-0307NY

Other Providers at the Same Location NPPES 20

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

MRS. CHRISTINE MARIE FEELY MPT

Physical Therapist (Orthopedic)

310 TAUGHANNOCK BLVD
ITHACA, NY 14850

Tompkins County (607) 279-7007

QUTAYBEH S MAGHAYDAH MD

Internal Medicine (Cardiovascular Disease)

310 TAUGHANNOCK BLVD, 4TH FLOOR
ITHACA, NY 14850

Tompkins County (607) 269-0100

MAXWELL CANTOR PT, DPT

Physical Therapist (Orthopedic)

310 TAUGHANNOCK BLVD, PHYSICAL THERAPY
ITHACA, NY 14850

Tompkins County (607) 252-3500

STEPHANIE ALLEN

Physical Therapist

310 TAUGHANNOCK BLVD
ITHACA, NY 14850

Tompkins County (607) 252-3500

LISA PROCTOR NP

Nurse Practitioner (Acute Care)

310 TAUGHANNOCK BLVD
ITHACA, NY 14850

Tompkins County (607) 252-3590

BROOKE FRUECHTL DPT

Physical Therapist

310 TAUGHANNOCK BLVD
ITHACA, NY 14850

Tompkins County (607) 252-3500

MARGARET A VENCE

Physical Therapist

310 TAUGHANNOCK BLVD
ITHACA, NY 14850

Tompkins County (607) 252-3500

NICOLE HUMPF ATC

Specialist/Technologist (Athletic Trainer)

310 TAUGHANNOCK BLVD
ITHACA, NY 14850

Tompkins County (607) 252-3580

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 Michael Costello's NPI number?

The NPI number for Michael Costello is 1649593211. It was assigned to this individual provider in the NPPES registry on March 10, 2010.

Where is Michael Costello located?

Michael Costello practices at 310 Taughannock Blvd, Ithaca, NY 14850. The listed phone number is (607) 252-3500.

What is Michael Costello's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Michael Costello was last updated on March 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.