Lyzette Castro

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026388 Issued in PA

Practice address

513 Ryan Way
Mountain Top, PA 18707-9691

Phone

(708) 925-4434

NPI assigned

Oct 17, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lyzette Aguilar Siacor Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174034193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 RYAN WAY",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 RYAN WAY",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187079691",
            "telephone_number": "708-925-4434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9441 Lbj Fwy Ste 602",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752434501",
            "country_code": "US",
            "telephone_number": "469-249-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "LYZETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38717",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYZETTE",
            "last_name": "SIACOR",
            "middle_name": "AGUILAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacie Marie Breslin, D.C.
• Melanie Ann Brown-Demichele, OD
• Katelyn Butczynski
• Brett Caladie
• Sarah L Carne, MS, CCC-SLP
• Lisa Marie Chamberlin-Bachman, MSOTR-L
• Aliasgar Chittalia, MD
• Comfort Keepers
• Compass Professional Counselors LLC
• Alexanne Kennedy Conklin, MS.CCC/SLP

• Physical Therapist in Mountain Top, PA
• Providers in Mountain Top, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.