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

Dr. Mary Kathryn Costello, DPT

Individual provider Physical Therapist · NPI 1922729219

Dr. Mary Kathryn Costello, DPT is a Physical Therapist in Private Practice in Palm Harbor, Florida. Qualified in 2022, 4 years ago. Practices with Potentia Therapeutics, LLC, an 18-clinician group. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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

2595 Tampa Rd Ste V&w
Palm Harbor, FL 34684-3152
Phone: (727) 712-1567
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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 PT38096 (FL)

Record details

NPI number1922729219
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 6, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Potentia Therapeutics, Llc — 18 clinicians
Accepts Medicare assignment Not indicated

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