Individual provider Active NPI

Miguelito Castillo Casibang, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1245589761
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4067 Issued in NV
Practice address
9747 Panther Hollow St
Las Vegas, NV 89141-8709
Phone
(240) 361-8006
NPI assigned
Aug 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 4067 NV Primary

Addresses

Primary practice location

9747 Panther Hollow St
Las Vegas, NV 89141-8709

Mailing address

9747 Panther Hollow St
Las Vegas, NV 89141-8709
Phone (240) 361-8006

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

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1245589761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9747 PANTHER HOLLOW ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418709",
            "telephone_number": "240-361-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9747 PANTHER HOLLOW ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418709",
            "telephone_number": "240-361-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIBANG",
        "first_name": "MIGUELITO",
        "middle_name": "CASTILLO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.