Active NPI
Olivia Castillo, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1013365543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT299630
- Practice address
- 6080 Center Dr
6TH Floor Suite # 639
Los Angeles, CA 90045-9205 - Phone
- (888) 859-0145
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070022649 | IL | |
| Physical Therapist | 225100000X | 2018022196 | MO | |
| Physical Therapist | 225100000X | PT299630 | CA | Primary |
Addresses
Primary practice location
6080 Center Dr
6TH Floor Suite # 639
Los Angeles, CA 90045-9205
Mailing address
PO Box 1295
Venice, CA 90294-1295
Phone (888) 859-0145
Other practice location 1
5545 N Clark St
Chicago, IL 60640-1222
Phone (773) 989-9620
Other practice location 2
8622 Olive Blvd
Olivette, MO 63132-2504
Phone (314) 781-0679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT299630 | CA | MD | Physical Therapist |
| 2018022196 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olivia Castillo Physical Therapy, Inc. | Current | Accepting new patients |
Interoperability endpoints
- olivia.castillo.p2@direct.athleticoltd.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Los Angeles, CA
- NPI 1114704756
-
- Physical Therapist
- Los Angeles, CA
- NPI 1265895080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1013365543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1295",
"city": "VENICE",
"state": "CA",
"postal_code": "902941295",
"telephone_number": "888-859-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 CENTER DR",
"address_2": "6TH FLOOR SUITE # 639",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900459205",
"telephone_number": "888-859-0145"
}
],
"practiceLocations": [
{
"address_1": "5545 N Clark St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606401222",
"country_code": "US",
"telephone_number": "773-989-9620",
"fax_number": "773-989-8346",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8622 Olive Blvd",
"address_purpose": "LOCATION",
"city": "Olivette",
"state": "MO",
"postal_code": "631322504",
"country_code": "US",
"telephone_number": "314-781-0679",
"fax_number": "314-781-3448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "OLIVIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022649",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2018022196",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT299630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.