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

Dr. Travis Kostello

Individual provider Physical Therapist · NPI 1992321624

Dr. Travis Kostello is a Physical Therapist in Private Practice in Fort Walton Beach, Florida. Qualified in 2020, 6 years ago. Practices with North Florida Surgeons PA, a 336-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

73 Eglin Pkwy NE Unit 111
Fort Walton Beach, FL 32548-4939
Phone: (636) 399-0015
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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 PT39740 (FL)

Record details

NPI number1992321624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address11945 San Jose Blvd Ste 209, Jacksonville, FL 32223-1627

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 North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Walton Beach