Individual provider Active NPI

Olivia Castillo, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1013365543
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT299630 Issued in CA
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

Updated by the provider on Feb 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210416000442 CA Practitioner - Physical Therapist in Private Practice 2264720093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT299630CAMDPhysical Therapist
2018022196MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olivia Castillo Physical Therapy, Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.