Individual provider Active NPI

Maria Camila Castillo, DPT

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1124656871
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35591 Issued in FL
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

Updated by the provider on Feb 29, 2024

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 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 IDStateProvider typePAC IDDetails
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.Group PAC ID 0840327342, 16 clinicians

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

LicenseStateTypeSpecialty
PT35591FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Sep 10, 2024 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 27, 2024 Accepting new patients
Bolanos Associates, LLC. Physical Therapist CurrentSince Aug 14, 2025 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.

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.

Verify at the official NPI Registry.