Marco Angelo Luna Del Castillo, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070015629 Issued in IL

Practice address

15 Lake Ridge CT
South Elgin, IL 60177-3251

Phone

(177) 388-6428

NPI assigned

Jun 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1023686292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAKE RIDGE CT",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773251",
            "telephone_number": "177-388-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAKE RIDGE CT",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773251",
            "telephone_number": "177-388-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CASTILLO",
        "first_name": "MARCO ANGELO",
        "middle_name": "LUNA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070015629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yourptcares",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Lake Ridge Ct",
            "city": "South Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601773251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Daniel Crum, RDN
• Raymond Cummerlander, DPT
• Curt Buss D.C., P.C.
• Julie Dalgaard, RDCS
• Teresa Danna-Harbaugh, INTERPRETER/TRANSLAT
• Adrianna Delhotal
• Elizabeth Ann Denman, M.S.
• Kenneth Ray Denson, LSW
• Dental Professionals of Illinois, P.C.
• Jamie Deyoung, M.A., CCC-SLP

• Physical Therapy Clinic/Center in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.