MRS. COLLEEN DEE KOSTIAK P.T.
NPI 1912022823
Physical Therapist in Clarks Summit, PA
About Mrs. Colleen Dee Kostiak P.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. COLLEEN DEE KOSTIAK P.T. (NPI 1912022823) is an individual physical therapist in Clarks Summit, Pennsylvania, licensed in Pennsylvania (PT017714) and active in the NPI registry since March 2007. She is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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
Mrs. Colleen Dee Kostiak P.t. 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.
Medicare Billing Reassignment
Medicare enrollment records show Colleen Kostiak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilmington, DE 19803
- Reassigned Medicare billing, Pennsylvania enrollment
- 847 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH ABINGTON TOWNSHIP, PA 18411
SOUTH ABINGTON TOWNSHIP, PA 18411
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 Colleen Kostiak's NPI number?
The NPI number for Colleen Kostiak is 1912022823. It was assigned to this individual provider in the NPPES registry on March 20, 2007.
Where is Colleen Kostiak located?
Colleen Kostiak practices at 150 Edella Rd, Clarks Summit, PA 18411. The listed phone number is (570) 585-2494.
What is Colleen Kostiak's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Colleen Kostiak enrolled in Medicare?
Yes. Colleen Kostiak 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 Colleen Kostiak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Kostiak reassigns Medicare benefits to Fox Rehabilitation Services Inc (Wilmington, DE). 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 Colleen Kostiak'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 Colleen Kostiak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Colleen Dee Kostiak, P.T. · NPI 1912022823
Physical Therapist provider in Clarks Summit, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 20, 2007.
## Identity
- **NPI:** 1912022823 (Entity type: Individual)
- **Enumerated:** March 20, 2007
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** PT017714 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 EDELLA RD, Clarks Summit, PA 18411-1628
- **Phone:** (570) 585-2494 · **Fax:** (570) 587-3308
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Fox Rehabilitation Services Inc (NPI 1326092503, Wilmington, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1912022823) · Data from the CMS NPPES public registry.