Kevin Costello, DPT
NPI 1104169929ActiveIndividual· Physical Therapist· Lynbrook, NY
Physical Therapist (DPT) with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, practicing in Lynbrook, New York. Medicare paid $178,065 for services to 164 patients in 2024.
Overview
| NPI | 1104169929 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Mar 29, 2013 |
| Last updated in NPPES | Nov 28, 2022 |
| Certified by provider | Nov 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 049876 | NY |
| Physical Therapist | 225100000X | PT02564 | RI |
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 - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 164 |
|---|---|
| Services billed | 7,019 across 8 procedure codes |
| Paid by Medicare | $178,065 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAJoliet, IL · 376 clinicians
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All 52 physical therapists in Lynbrook · All physical therapists in New York