Active NPI
Sandra Patricia Castillo, PT
- Physical Therapist
- Long Island City, NY
National Provider Identifier
1316192404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016556-1
- Practice address
- 474 48TH Ave Apt 12J
Long Island City, NY 11109-5612 - Phone
- (718) 937-0809
- NPI assigned
- Nov 18, 2008
- Last updated
- Nov 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 016556-1 | NY | Primary |
| Physical Therapist | 225100000X | PT7879 | FL |
Addresses
Primary practice location
474 48TH Ave Apt 12J
Long Island City, NY 11109-5612
Mailing address
474 48TH Ave Apt 12J
Long Island City, NY 11109-5612
Phone (718) 937-0809
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016556-1 | NY | MD | Dental Hygienist |
| PT7879 | FL | MD | Physical Therapist |
| 016556 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1316192404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 48TH AVE APT 12J",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111095612",
"telephone_number": "718-937-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 48TH AVE APT 12J",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111095612",
"telephone_number": "718-937-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "SANDRA",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "016556-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7879",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.