Individual provider Active NPI

Alex Eduardo Castillo, LMT

  • Massage Therapist
  • Dallas, TX
National Provider Identifier
1023844768
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT114302 Issued in TX
Practice address
8109 Skillman St Apt 3007
Dallas, TX 75231-2828
Phone
(214) 533-6468
NPI assigned
Sep 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT114302 TX Primary

Addresses

Primary practice location

8109 Skillman St Apt 3007
Dallas, TX 75231-2828

Mailing address

7557 Rambler Rd Ste 720
Dallas, TX 75231-2388
Phone (214) 361-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT114302TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rambler Park Medical Rehab CurrentSince Sep 15, 2024 Accepting new patients
Back to Health Chiropractic, PLLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

7557 Rambler Rd
Ste 720
Dallas, TX 75231
Phone (214) 361-9355

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1023844768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD STE 720",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312388",
            "telephone_number": "214-361-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 SKILLMAN ST APT 3007",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312828",
            "telephone_number": "214-533-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ALEX",
        "middle_name": "EDUARDO",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT114302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.