MRS. HEATHER RENEE COSTAS (MSPT, CIMT) – Physical Therapist, NPI 1104915644

MRS. HEATHER RENEE COSTAS (MSPT, CIMT) is a healthcare provider. based in Shelby twp, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT, CIMT. They hold a License No. 5501011833 (MI). The NPI Number for MRS. HEATHER RENEE COSTAS (MSPT, CIMT) is 1104915644

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HEATHER RENEE COSTAS (MSPT, CIMT)
NPI
1104915644
Phone
(586) 884-5040
Address
50174 SCHOENHERR RD
Enumeration Date
12 October 2006
Last Update Date
2 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5868845040
Graduation Year
2003 (23 years ago)
PAC ID
4082743083
Group Practice PAC ID
2264479518
Professional Enrollment ID
I20100601000738
Address ID
MI483153136SH50174RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MRS. HEATHER RENEE COSTAS (MSPT, CIMT)

  • 50174 SCHOENHERR RD

    SHELBY TWP, MI 483153136

    Phone: (586) 884-5040

    Fax: (586) 580-0375

    Type: Location

  • 50505, Schoenherr Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    STE 210 P

    SHELBY TWP, MI 483153140

    Phone: (586) 884-6689

    Fax: (586) 884-6678

    Type: Location

  • 49050 Schoenherr Rd Ste 600

    Shelby Township, MI 483153859

    Phone: (586) 566-8913

    Fax: (586) 566-8379

    Type: Location

  • Harper Avenue, Saint Clair Shores, Clinton Township, Macomb County, Michigan, 48036, United States

    SUITE 104

    CLINTON TOWNSHIP, MI 480354258

    Phone: (586) 416-9100

    Fax: (528) 416-9103

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100601000738IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,277100$0
97530Therapy procedure using functional activities1,04487$0
97140Therapy procedure using manual technique, each 15 minutes86899$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes75677$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care17137$0
View full utilization report →

Insurance plans in this area (ZIP 48315)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264479518View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What NPI should I save for MRS. HEATHER RENEE COSTAS (MSPT, CIMT)?
Save NPI 1104915644 if you need a stable reference for MRS. HEATHER RENEE COSTAS (MSPT, CIMT).
Is MRS. HEATHER RENEE COSTAS (MSPT, CIMT) active in the national directory?
MRS. HEATHER RENEE COSTAS (MSPT, CIMT)'s public NPI profile is in an active state.
What kind of provider is MRS. HEATHER RENEE COSTAS (MSPT, CIMT)?
The page reflects Physical Therapist for MRS. HEATHER RENEE COSTAS (MSPT, CIMT). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. HEATHER RENEE COSTAS (MSPT, CIMT)?
The page summarizes Shelby Twp, Michigan for MRS. HEATHER RENEE COSTAS (MSPT, CIMT); expand the address list for detail.
What if Shelby Twp, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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