Shannon Brook Costella, MSPT, CERT MDT
NPI 1215987201ActiveIndividual· Physical Therapist· Valparaiso, IN
Physical Therapist (MSPT, CERT MDT) with Athletico Ltd, practicing in Valparaiso, Indiana. Medicare paid $51,853 for services to 96 patients in 2024.
Overview
| NPI | 1215987201 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSPT, CERT MDT |
| Sole proprietor | No |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Apr 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 05007003A | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 2,550 across 15 procedure codes |
| Paid by Medicare | $51,853 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
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All 66 physical therapists in Valparaiso · All physical therapists in Indiana