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

Kevin Costello, PT

Individual provider Physical Therapist · NPI 1366675605

Kevin Costello, PT is a Physical Therapist in Private Practice in Coral Springs, Florida. Qualified in 1988, 38 years ago. Practices with Elite Therapeutic Care, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
38
Licensed in
FL
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

831 Coral Ridge Dr
Coral Springs, FL 33071-4180
Phone: (954) 562-8181
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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 PT5692 (FL)

Record details

NPI number1366675605
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 3, 2009
Last updated in NPPESSeptember 3, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Elite Therapeutic Care, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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