Active NPI
Maria Camila Castillo, DPT
- Physical Therapist
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35591
- Practice address
- 5601 Okeechobee Blvd Ste B
West Palm Beach, FL 33417-4489 - Phone
- (561) 432-0111
- Fax
- (561) 432-1075
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PT35591 | FL | Primary |
Addresses
Primary practice location
5601 Okeechobee Blvd Ste B
West Palm Beach, FL 33417-4489
Mailing address
5840 Corporate Way Ste 101
West Palm Beach, FL 33407-2040
Phone (561) 432-0111
Other practice location 1
2400 S Highway 27 Ste B201
Clermont, FL 34711-6816
Phone (352) 394-0212
Other practice location 2
5125 Adanson St Ste 750
Orlando, FL 32804-1327
Phone (352) 394-0212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240314001659 | FL | Practitioner - Physical Therapist in Private Practice | 1456797265 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bolanos Associates, LLC.
Practice addresses (Care Compare)
7340 NW 5TH St
Plantation, FL 33317-1605
Phone (786) 259-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35591 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobe Innovative Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Bolanos Associates, LLC. | Physical Therapist | Current | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
4801 S University Dr
Ste 101
Davie, FL 33328
Phone (786) 259-0300
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
1150 NW 72nd Ave
Ste 720
Miami, FL 33126
Phone (305) 599-1990
7340 NW 5th St
Plantation, FL 33317
Phone (786) 259-0300
15751 Sheridan St
Southwest Ranches, FL 33331
Phone (786) 877-2039
5401 W Kennedy Blvd
Ste 100
Tampa, FL 33609
Phone (813) 323-1959
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1427288851
FL, Physical Therapist
-
- Physical Therapist
- Miami, FL
- NPI 1164800595
FL, Physical Therapist
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1124656871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 CORPORATE WAY STE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072040",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 OKEECHOBEE BLVD STE B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334174489",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
}
],
"practiceLocations": [
{
"address_1": "2400 S Highway 27 Ste B201",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347116816",
"country_code": "US",
"telephone_number": "352-394-0212",
"fax_number": "352-241-6361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5125 Adanson St Ste 750",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328041327",
"country_code": "US",
"telephone_number": "352-394-0212",
"fax_number": "352-241-6361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "MARIA",
"middle_name": "CAMILA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.