Organization Active NPI

Castrell Neuromuscular Therapy

  • Massage Therapist
  • San Jose, CA
National Provider Identifier
1164061412
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CASTRELL NEUROMUSCULAR THERAPY
Practice address
4155 Moorpark Ave Ste 20
San Jose, CA 95117-1714
Phone
(408) 899-4085
Fax
(408) 498-9746
NPI assigned
Jan 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Mr. Croft Castrell, CMT, BCTMBNPI 1699167437
Title
Owner
Phone
(408) 899-4085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4155 Moorpark Ave Ste 20
San Jose, CA 95117-1714

Mailing address

4155 Moorpark Ave Ste 20
San Jose, CA 95117-1714
Phone (408) 899-4085

National Provider Directory

National Provider Directory

Locations

3880 S Bascom Ave
Ste 108
San Jose, CA 95124

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1164061412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-899-4085",
            "fax_number": "408-498-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-899-4085",
            "fax_number": "408-498-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTRELL NEUROMUSCULAR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "CASTRELL",
        "authorized_official_first_name": "CROFT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-899-4085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMT, BCTMB"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.