Individual provider Active NPI

Virgilio Enrico Pelaez Del Castillo, PT

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1043647712
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1003 W Fremont Ave Unit 1
Salt Lake City, UT 84104-2007
Phone
(801) 671-5384
NPI assigned
Sep 26, 2013
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1003 W Fremont Ave Unit 1
Salt Lake City, UT 84104-2007

Mailing address

1003 W Fremont Ave
Salt Lake City, UT 84104-2007
Phone (801) 671-5384

Other practice location 1

2021 E Village Green Cir Ste C
Draper, UT 84020-5500
Phone (833) 233-7875

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Rehabilitation Agency LLC Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1043647712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W FREMONT AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841042007",
            "telephone_number": "801-671-5384",
            "fax_number": "801-456-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W FREMONT AVE UNIT 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841042007",
            "telephone_number": "801-671-5384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 E Village Green Cir Ste C",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840205500",
            "country_code": "US",
            "telephone_number": "833-233-7875",
            "fax_number": "801-206-3059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL CASTILLO",
        "first_name": "VIRGILIO ENRICO",
        "middle_name": "PELAEZ",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.