Thomas John Costello Jr., MOTR/L
NPI 1053123729ActiveIndividual· Occupational Therapist· Spokane Valley, WA
Occupational Therapist (MOTR/L) with Providence Health and Services Washington, practicing in Spokane Valley, Washington. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1053123729 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MOTR/L |
| Sole proprietor | No |
| NPI issued | Jan 21, 2025 |
| Last updated in NPPES | Jun 10, 2026 |
| Certified by provider | Jun 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT61647885 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (WA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Providence Health and Services WashingtonSpokane, WA · 784 clinicians
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