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

Kevin Costello, DPT

Individual provider Physical Therapist · NPI 1104169929

Kevin Costello, DPT is a Physical Therapist in Private Practice in Lynbrook, New York. Qualified in 2013, 13 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Rhode Island.

Years since qualifying
13
Licensed in
NY, RI
In the registry since
2013
Specialties on file
2
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

225 Merrick Rd
Lynbrook, NY 11563-2621
Phone: (516) 599-8734
Fax: (516) 599-8730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 535 Centerville Rd, Warwick, RI 02886-4486 — (401) 737-4581

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 049876 (NY)
Physical Therapist Taxonomy 225100000X · Licence PT02564 (RI)

Record details

NPI number1104169929
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 29, 2013
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022
Mailing address225 Merrick Rd, Lynbrook, NY 11563-2621

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lynbrook