Active NPI
Kristine H Castellano, PT
- Physical Therapist
- Durham, NC
National Provider Identifier
1124223615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2459
- Practice address
- 2701 Pickett Rd
Durham, NC 27705-5688 - Phone
- (919) 419-4012
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2459 | NC | Primary |
Addresses
Primary practice location
2701 Pickett Rd
Durham, NC 27705-5688
Mailing address
104 Hogan Glen CT
Chapel Hill, NC 27516-4308
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2459 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124223615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HOGAN GLEN CT",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275164308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 PICKETT RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277055688",
"telephone_number": "919-419-4012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANO",
"first_name": "KRISTINE",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.