Individual provider Active NPI

Nicco Castell

  • Massage Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1285269266
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA51218 Issued in FL
Practice address
2480 E Commercial Blvd Ste 3
Fort Lauderdale, FL 33308
Phone
(954) 812-7612
NPI assigned
Mar 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA51218 FL Primary

Addresses

Primary practice location

2480 E Commercial Blvd Ste 3
Fort Lauderdale, FL 33308

Mailing address

303 NW 41St Ave
Deerfield Beach, FL 33442-8046
Phone (954) 812-7612

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://romancastell.com

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
MA51218FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1285269266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NW 41ST AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428046",
            "telephone_number": "954-812-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 E COMMERCIAL BLVD STE 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-812-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELL",
        "first_name": "NICCO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA51218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://romancastell.com",
            "affiliation": "N",
            "endpointDescription": "web address",
            "address_1": "2480 E Commercial Blvd Ste 3",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333084025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.