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

Jason Costello

Individual provider Occupational Therapy Assistant · NPI 1073716833

Jason Costello is an Occupational Therapy Assistant in Laurel, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007

Practice location Address checks out

14409 Greenview Dr Ste 102
Laurel, MD 20708-4213
Phone: (301) 498-8100
Fax: (301) 498-0009
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence A00514 (MD)

Record details

NPI number1073716833
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address14409 Greenview Dr Ste 102, Laurel, MD 20708-4213

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