Active NPI
Naiane Muniz de Castro
- Physical Therapist
- Pooler, GA
National Provider Identifier
1215804430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018173
- Practice address
- 119 Canal St Ste 104
Pooler, GA 31322-4094 - Phone
- (912) 330-8444
- NPI assigned
- Oct 22, 2025
- 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 | PT018173 | GA | Primary |
Addresses
Primary practice location
119 Canal St Ste 104
Pooler, GA 31322-4094
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
119 Canal St
Suite 104
Pooler, GA 31322-4094
Phone (912) 330-8444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018173 | GA | MD | Physical Therapist |
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.
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1215804430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 CANAL ST STE 104",
"city": "POOLER",
"state": "GA",
"postal_code": "313224094",
"telephone_number": "912-330-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNIZ DE CASTRO",
"first_name": "NAIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-22",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT018173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.