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

Michael Costello, DPT

Individual provider Physical Therapist · NPI 1255098968

Michael Costello, DPT is a Physical Therapist in Private Practice in Storrs, Connecticut. Qualified in 2021, 5 years ago. Practices with Ptsma Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2021
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

9 Dog Ln Ste 108
Storrs, CT 06268-2239
Phone: (860) 429-0899
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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 13390 (CT)

Record details

NPI number1255098968
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 17, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021
Mailing address108 Edgewater Dr, Coventry, CT 06238-2704

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ptsma Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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