Individual provider Active NPI

Mikayla Castillo, MS CF-SLP

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1285431668
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13353 Issued in FL
Practice address
4125 Gunn Hwy Ste B1
Tampa, FL 33618-8788
Phone
(813) 778-5682
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13353 FL Primary

Addresses

Primary practice location

4125 Gunn Hwy Ste B1
Tampa, FL 33618-8788

Mailing address

7907 Heather CT
Tampa, FL 33634-2236
Phone (813) 734-1524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326004086 FL Practitioner - Qualified Speech Language Pathologist 8921521386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
L H Rew LLCGroup PAC ID 8426429713, 5 clinicians

Practice addresses (Care Compare)

4125 Gunn Hwy
Suite B1
Tampa, FL 33618-8788
Phone (813) 778-5682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13353FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
L H Rew LLC Speech-Language Pathologist CurrentSince Mar 18, 2025 Accepting new patients

Locations

4125 Gunn Hwy
Ste B1
Tampa, FL 33618
Phone (813) 778-5682

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1285431668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 HEATHER CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342236",
            "telephone_number": "813-734-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 GUNN HWY STE B1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188788",
            "telephone_number": "813-778-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MIKAYLA",
        "credential": "MS CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "13353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.

Verify at the official NPI Registry.