Kimberly A Castillo, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00020520 Issued in WA

Practice address

816 E 8TH St
Port Angeles, WA 98362-6419

Phone

(360) 457-0608

Fax

(360) 417-3413

NPI assigned

Jun 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly A Ley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sorensen Chiropractic LLC

  • Chiropractor
  • Sequim, WA
  • NPI 1366624835
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1063673192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626419",
            "telephone_number": "360-457-0608",
            "fax_number": "360-417-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626419",
            "telephone_number": "360-457-0608",
            "fax_number": "360-417-3413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 N 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983823079",
            "country_code": "US",
            "telephone_number": "360-683-7911",
            "fax_number": "360-683-3981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LEY",
            "middle_name": "A",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Bonnie R Cassidy, CDP
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• Timothy Alan Cella
• Center for Bone & Joint Surgery LTD

• Massage Therapist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.