Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Coy Costello, DPT

Individual provider Physical Therapist · NPI 1275737470

Dr. Jacob Coy Costello, DPT is a Physical Therapist in Private Practice in Omaha, Nebraska. Qualified in 2007, 19 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
19
Licensed in
IA, NE
In the registry since
2007
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

825 N 90th St
Omaha, NE 68114-2702
Phone: (402) 933-8900
Fax: (402) 393-9388
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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 2554 (NE)
Physical Therapist Taxonomy 225100000X · Licence 004086 (IA)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence 2554 (NE)

Record details

NPI number1275737470
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 12, 2007
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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