Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandr Kostenko Jr., PT, DPT

Individual provider Physical Therapist · NPI 1922606805

Alexandr Kostenko Jr., PT, DPT is a Physical Therapist in Private Practice in Austin, Texas. Qualified in 2020, 6 years ago. Practices with Mary Lee Foundation, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1339 Lamar Square Dr
Austin, TX 78704-2209
Phone: (512) 443-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1337221 (TX)

Record details

NPI number1922606805
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mary Lee Foundation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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