Julie Marie Costigan, DPT
NPI 1104607712ActiveIndividual· Physical Therapist· New York, NY
Physical Therapist (DPT) in New York, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 2023). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1104607712 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Oct 10, 2023 |
| Last updated in NPPES | Oct 10, 2023 |
| Certified by provider | Oct 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 051072 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Optimized Independence OT PLLCRoslyn, NY · 14 clinicians
- James Fowler PT PCNew York, NY · 3 clinicians
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