Individual provider Active NPI

Denise Olivas Castillo, PT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1053126649
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23883 Issued in NC
Practice address
9392 Sullivan Vale LN
Charlotte, NC 28215-7073
Phone
(980) 701-5757
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 P23883 NC Primary

Addresses

Primary practice location

9392 Sullivan Vale LN
Charlotte, NC 28215-7073

Mailing address

PO Box 412313
Boston, MA 02241-2313

Other practice location 1

7114 Brighton Park Dr Ste 310
Mint Hill, NC 28227-7816
Phone (704) 644-0807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326002819 NC Practitioner - Physical Therapist in Private Practice 6204359623 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

7114 Brighton Park Dr
Suite 310
Mint Hill, NC 28227-7816
Phone (704) 644-0807

9392 Sullivan Vale LN
Charlotte, NC 28215-7073
Phone (980) 701-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23883NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Mar 5, 2026 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Feb 10, 2025 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Mar 5, 2026 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

610 N Fayetteville St
Ste 101
Asheboro, NC 27203
Phone (336) 633-4263

9392 Sullivan Vale Ln
Charlotte, NC 28215
Phone (980) 701-5757

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

7114 Brighton Park Dr
Ste 310
Mint Hill, NC 28227
Phone (704) 644-0807

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

Organizations & group practices 9

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1053126649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412313",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9392 SULLIVAN VALE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157073",
            "telephone_number": "980-701-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7114 Brighton Park Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282277816",
            "country_code": "US",
            "telephone_number": "704-644-0807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVAS CASTILLO",
        "first_name": "DENISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.