Kevin Costello, DPT
NPI 1104169929 · Physical Therapist · Lynbrook, NY
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Costello, DPT is a Physical Therapist provider in Lynbrook, NY (NPI 1104169929).
Provider details
- NPI number
- 1104169929
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT02564 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
7,012 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 2,075 | $43 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 2,021 | $29 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 1,774 | $24 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,065 | $25 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 55 | $118 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 22 | $119 |
Practice location
Mailing address
Additional practice locations (1)
- 535 Centerville RdSuite 101Warwick, RI 02886-4486Phone: (401) 737-4581Fax: (401) 737-4811
Registry dates
- Enumerated
- 2013-03-29
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Frequently asked questions
- What is Kevin Costello's NPI number?
- Kevin Costello's National Provider Identifier (NPI) is 1104169929, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Costello's specialty?
- Kevin Costello is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kevin Costello located?
- Kevin Costello's practice location on file with NPPES is 225 Merrick Rd, Lynbrook, NY 11563-2621.
- What is Kevin Costello's phone number?
- The practice phone number listed in the NPPES registry for Kevin Costello is (516) 599-8734.
- Does Kevin Costello accept Medicare?
- Kevin Costello is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Costello's NPI active?
- Yes — Kevin Costello's NPI (1104169929) is active in the NPPES registry as of the last update on 2022-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.