Olivia Castillo Physical Therapy, Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

OLIVIA CASTILLO PHYSICAL THERAPY, INC.

Practice address

11417 Culver Blvd Apt 2
Los Angeles, CA 90066

Phone

(310) 929-0103

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Olivia Ann Castillo, PT, DPT, OCS, CMPTNPI 1013365543

Title

Chief Executive Officer

Phone

(310) 929-0103

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy by Olivia Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Castillo, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1013365543
  NPD Authorized official

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1114704756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10866 WASHINGTON BLVD # 418",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "310-929-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 CULVER BLVD APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90066",
            "telephone_number": "310-929-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA CASTILLO PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-929-0103",
        "authorized_official_credential": "PT, DPT, OCS, CMPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy by Olivia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Therapy by Olivia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Shafer Oliver
• Maria Olivera
• Alejandra Oliveros
• Elizabeth M Oliveros
• Margaret R. Oliveto, CRNA
• Diana Olivo
• John Olivo
• Roberto J Olivo
• Estephany Olivos
• Maria Oljaca

• Orthopedic Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.