KELLY COSTELLO (NPI# 1295192268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295192268 |
| Entity Type | Individual |
| Full Name | KELLY COSTELLO |
| Practice Address |
1501 Frost Rd Mechanicsburg PA 17055-5134 |
| Practice Telephone | 7175769607 |
| Mailing Telephone | 7175769607 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194177949 | Kelly Lynn Costello | Behavioral Analyst | 4103 Lester Ct, Alexandria, VA 22311-1121 | 2016-07-05 |
| 1659507226 | Kelly N Costello | Occupational Therapist | 4622 40th Ave S Ste B, Fargo, ND 58104-4394 | 2009-06-09 |
| 1194237495 | Kelly Marie Costello | Pharmacist | 1200 W Fayette Ave, Effingham, IL 62401-1913 | 2017-10-26 |
| 1497159412 | Kelly Costello | Counselor | 1714 Jarrettsville Rd, Jarrettsville, MD 21084-1524 | 2014-10-20 |
| 1780011932 | Kelly Costello | Social Worker | 2500 18th St, San Francisco, CA 94110-2109 | 2013-10-02 |
| 1588858039 | Kelly L Costello | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-08-28 |
| 1639389448 | Kelly E Costello | Counselor | 95 Pleasant St, Lynn, MA 01901-1524 | 2007-05-23 |
| 1801828884 | Kelly L Costello | Pediatrics | 401 N 17th St, Suite 203, Allentown, PA 18104-5034 | 2006-07-07 |
| Street Address |
1501 FROST RD |
| City | MECHANICSBURG |
| State | PA |
| Zip Code | 17055-5134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240899 | Noah Robert Rhinehart | Specialist/Technologist | One College Drive Messiah College, Mechanicsburg, PA 17055 | 2020-03-13 |
| 1104470863 | Anntoinette Hobbs | Prosthetist | 19 Railroad Avenue, Mechanicsburg, PA 17055 | 2019-07-30 |
| 1467943324 | Christin M Brennan | Nurse Practitioner | 5401 Oxford Dr Apt 6, Mechanicsburg, PA 17055 | 2018-05-25 |
| 1851680656 | Perll Diagnostics Inc | Clinical Medical Laboratory | 5010 Ritter Rd, Suite 104, Mechanicsburg, PA 17055 | 2011-04-01 |
| 1538463377 | April Bowers | Counselor | 321 Gettysburg Pike, Mechanicsburg, PA 17055 | 2011-01-10 |
| 1639322951 | Capital Area Intermediate Unit | Clinic/Center | 405 E Winding Hill Road, Hill Top Academy, Mechanicsburg, PA 17055 | 2008-10-30 |
| 1548411648 | Susan Gabrovsek | Counselor | 960 Century Drive, Mechanicsburg, PA 17055 | 2008-10-07 |
| 1114180247 | Select Physical Therapy Holdings, Inc | Durable Medical Equipment & Medical Supplies | 4714 Gettysburg Road, Legal, Mechanicsburg, PA 17055 | 2008-07-09 |
| 1326255910 | Kathy C. Burson | Psychologist | 400 Alison Ave, Mechanicsburg, PA 17055 | 2007-05-16 |
| 1720290836 | Fields Family Dentistry, LLC | Dentist | 2101 Aspen Drive, Mechanicsburg, PA 17055 | 2007-05-03 |
| Find all providers in zip 17055 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316575582 | Molly M Miske | Developmental Therapist | 3917 Warleigh Way, Mechanicsburg, PA 17050-5013 | 2020-03-31 |
| 1104471903 | Ashley Yeager | Developmental Therapist | 6343 Locust Ln, Mechanicsburg, PA 17050-1974 | 2019-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305684 | Ashley Mccurry | Developmental Therapist | 5517 Baptist Rd, Pittsburgh, PA 15236-1632 | 2020-10-30 |
| 1811596513 | Catherine Mary Dusman | Developmental Therapist | 159 Jackson Dr, Chambersburg, PA 17201-8962 | 2020-10-22 |
| 1750916243 | Miranda Williams | Developmental Therapist | 2011 Deerfield Cmns, Shippensburg, PA 17257-8541 | 2020-03-05 |
| 1669004768 | Melinda Kaye Ostermann | Developmental Therapist | 2012 Hershey Rd, Erie, PA 16509-4514 | 2020-02-06 |
| 1497398986 | Deborah Marsilio | Developmental Therapist | 364 Lake Meade Dr, East Berlin, PA 17316-9369 | 2019-10-28 |
| 1457901753 | Sedavi Danh | Developmental Therapist | 1318 S 36th St, Philadelphia, PA 19146-3227 | 2019-09-18 |
| 1326692500 | Bridget Scott-doyle | Developmental Therapist | 23 Wyomissing Hills Blvd, Reading, PA 19609-1773 | 2019-07-26 |
| 1023679420 | Kaitlyn Marie Day | Developmental Therapist | 104 Oaken Way, Myerstown, PA 17067-3317 | 2019-06-26 |
| 1578124335 | Erica L Walters | Developmental Therapist | 307 Pleasant View Ave, Willow Street, PA 17584-9704 | 2019-06-24 |
| 1013406149 | Anissa Dominguez | Developmental Therapist | 100 N Park Rd Apt 1263, Wyomissing, PA 19610-3058 | 2018-05-03 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSBURG |
| Zip Code | 17055 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.