Connor Costales
Connor Costales is a Physical Therapist in Private Practice in Concord, Massachusetts. Qualified in 2023, 3 years ago. Practices with Boston Sports Medicine Inc, a 28-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2024
Practice location Address checks out
50 Beharrell St Ste DConcord, MA 01742-1750
Phone: (617) 932-1027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Physical Therapist (primary) | Taxonomy 2251S0007X |
|---|
Record details
| NPI number | 1053172072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2024 |
| Last updated in NPPES | January 17, 2024 |
| Certification date | January 17, 2024 |
| Mailing address | 107 College Rd, Concord, MA 01742-1526 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Boston Sports Medicine Inc — 28 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |