Miss Shannon Brook Costella, MSPT, CERT MDT | |
2307 Laporte Ave, Suite 5, Valparaiso, IN 46383-6996 | |
(219) 477-4500 | |
(219) 477-4567 |
Full Name | Miss Shannon Brook Costella |
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Gender | Female |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 2307 Laporte Ave, Valparaiso, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215987201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05007003A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Accelerated Rehabilitation Centers Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040416000404 |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20110309000231 |
Mailing Address | Practice Location Address |
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Miss Shannon Brook Costella, MSPT, CERT MDT 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-6200 | Miss Shannon Brook Costella, MSPT, CERT MDT 2307 Laporte Ave, Suite 5, Valparaiso, IN 46383-6996 Ph: (219) 477-4500 |
Mr. Jonathan Verano Pilario, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1811 Crimson Dr, Valparaiso, IN 46383 Phone: 847-414-7460 | |
Kristin Larsen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2904 Calumet Ave, Valparaiso, IN 46383 Phone: 219-462-1020 Fax: 219-462-1043 | |
Mrs. Kristina Diane Matthews, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 74 Journey Way, Valparaiso, IN 46383 Phone: 219-255-4378 | |
Michael A. Johnston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 71 Silhavy Rd, Suite 121, Valparaiso, IN 46383 Phone: 219-462-0576 Fax: 219-462-0216 | |
Kimberlyn Renea Thomas, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1501 Eisenhower Ave Apt 104, Valparaiso, IN 46383 Phone: 574-806-4038 | |
Franklin Kilian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-983-8300 | |
The Rehabilitation Care Associates Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 952 S.state Rt 2, Suite 1, Valparaiso, IN 46385 Phone: 219-548-0597 Fax: 219-548-0598 |