Kelly L. Costa, DPT
NPI 1295156594ActiveIndividual· Physical Therapist· Dix Hills, NY
Physical Therapist (DPT) in Dix Hills, New York, licensed in NY, with an NPI issued in January 2014. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1295156594 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jan 4, 2014 |
| Last updated in NPPES | Dec 10, 2021 |
| Certified by provider | Dec 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 037470 | NY |
| Physical Therapist | 225100000X | P91676 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|
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