Individual provider Active NPI

Bryan Keith Casto, PTA

  • Physical Therapy Assistant
  • Laura, OH
National Provider Identifier
1235446873
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
04255 Issued in OH
Practice address
5772 S State Route 721
Laura, OH 45337-9717
Phone
(614) 419-7750
NPI assigned
Sep 2, 2010
Last updated
Sep 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 04255 OH Primary

Addresses

Primary practice location

5772 S State Route 721
Laura, OH 45337-9717

Mailing address

5772 S State Route 721
Laura, OH 45337-9717
Phone (614) 419-7750

Other identifiers 1

IdentifierTypeStateIssuer
#04255OtherOHSTATE OF OHIO PTA LISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04255OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1235446873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5772 S STATE ROUTE 721",
            "city": "LAURA",
            "state": "OH",
            "postal_code": "453379717",
            "telephone_number": "614-419-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5772 S STATE ROUTE 721",
            "city": "LAURA",
            "state": "OH",
            "postal_code": "453379717",
            "telephone_number": "614-419-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTO",
        "first_name": "BRYAN",
        "middle_name": "KEITH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "04255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO PTA LISCENSE",
            "identifier": "#04255",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laura, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.