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

Miss. Shannon Brook Costella, MSPT, CERTMDT

Individual provider Physical Therapist · NPI 1215987201

Miss. Shannon Brook Costella, MSPT, CERTMDT is a Physical Therapist in Private Practice in Valparaiso, Indiana. Qualified in 2000, 26 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Licensed in
IN
In the registry since
2006
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Practice location Address checks out

2307 Laporte Ave Ste 5
Valparaiso, IN 46383-6996
Phone: (219) 477-4500
Fax: (219) 477-4567
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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 05007003A (IN)

Record details

NPI number1215987201
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT , CERTMDT
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESApril 20, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valparaiso