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

Mr. Thomas John Costello Jr., MOTR/L

Individual provider Occupational Therapist · NPI 1053123729

Mr. Thomas John Costello Jr., MOTR/L is an Occupational Therapist in Private Practice in Spokane Valley, Washington. Qualified in 2024, 2 years ago. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2025
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Practice location Address checks out

16528 E Desmet Ct Ste B2200
Spokane Valley, WA 99216-3522
Phone: (509) 944-8920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT61647885 (WA)

Record details

NPI number1053123729
Entity typeIndividual (Type 1)
GenderMale
Credentials MOTR/L
Sole proprietorNo
NPI enumeratedJanuary 21, 2025
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Spokane Valley