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

Dr. Kimberly A. Costello, PT, DPT

Individual provider Neurology Physical Therapist · NPI 1336143833

Dr. Kimberly A. Costello, PT, DPT is a Physical Therapist in Private Practice in Johnson City, Tennessee. Qualified in 1991, 35 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
35
Licensed in
TN
In the registry since
2005
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

3915 Bristol Hwy Ste 301
Johnson City, TN 37601-1403
Phone: (423) 262-0020
Fax: (423) 262-0057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence PT2422 (TN)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT2422 (TN)

Record details

NPI number1336143833
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESMay 19, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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