Active NPI
Audra Elizabeth Castillo, L.M.T.
- Massage Therapist
- Medford, OR
National Provider Identifier
1265686554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11588
- Practice address
- 1117 E Main St
Suite 4
Medford, OR 97504-7404 - Phone
- (541) 779-2577
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11588 | OR | Primary |
Addresses
Primary practice location
1117 E Main St
Suite 4
Medford, OR 97504-7404
Mailing address
2033 Spring St
Medford, OR 97504-6371
Phone (541) 890-4596
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11588 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1265686554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 SPRING ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046371",
"telephone_number": "541-890-4596",
"fax_number": "541-227-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 E MAIN ST",
"address_2": "SUITE 4",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047404",
"telephone_number": "541-779-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "AUDRA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.