MS. MARIE CUSTODERO P.T.
NPI 1871714998
Physical Therapist - Geriatrics in Aiken, SC

Q: What is Marie Custodero's NPI number?

The NPI number for Marie Custodero is 1871714998. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Marie Custodero's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Marie Custodero was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 02, 2007

550 EASTGATE DR, AIKEN, SC 29803(803) 643-3694 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Ms. Marie Custodero P.t. NPPES

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

MS. MARIE CUSTODERO P.T. (NPI 1871714998) is an individual geriatrics provider in Aiken, South Carolina and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1871714998

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameMS. MARIE CUSTODEROCredential: P.T.

Location Address550 EASTGATE DRAiken, SC 29803

Mailing Address4 W Red Oak Ln Ste 201White Plains, NY 10604-3603

Phone(803) 643-3694

Sole ProprietorNo

Enumeration DateMay 2, 2007

Last NPPES UpdateSeptember 11, 2019

✔ NPI 1871714998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code2251G0304X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

550 EASTGATE DR, Aiken, SC 29803

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Other Identifiers 1

Medicaid887462000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marie Custodero P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Potentia Therapeutics, LLC

388 mi

Physical Therapist

2307 S DALE MABRY HWY STE F
Tampa, FL 33629

Reassigned Medicare billing, Florida enrollment
19 clinicians in this Medicare group

NPI 1063910982 (813) 374-9508

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 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.

202 services30 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

110 services24 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.

103 services24 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

49 services12 patients

Other Providers at the Same Location NPPES 13

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

SC-GA2018 ANCHOR REHABILITATION AND HEALTHCARE CENTER OF AIKEN, LLC

Skilled Nursing Facility