Active NPI
Jonathan Castro Tigre, DPT
- Physical Therapist
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22713
- Practice address
- 1821 Martin Luther King Pkwy
Durham, NC 27707-6336 - Phone
- (919) 748-4980
- Fax
- (919) 816-2012
- NPI assigned
- Oct 17, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P22713 | NC | Primary |
Addresses
Primary practice location
1821 Martin Luther King Pkwy
Durham, NC 27707-6336
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 882-9379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3657 Cortez Rd W
Suite 110
Bradenton, FL 34210-3171
Phone (941) 739-7828
4701 Creedmoor Rd
Suite 107
Raleigh, NC 27612-4500
Phone (919) 676-2001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avance Care, PA | Current | Accepting new patients | |
| Fitness Quest - Venice LLC | Current | Accepting new patients | |
| Fitness Quest - Venice LLC | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1821 Martin Luther King Pkwy
Durham, NC 27707
Phone (919) 748-4980
303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738
4701 Creedmoor Rd
Ste 107
Raleigh, NC 27612
Phone (919) 676-2001
Organizations & group practices 6
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.
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
-
- Physical Therapy Clinic/Center
- Lakewood Ranch, FL
- NPI 1033129895
Physical Therapist
-
- Clinic/Center
- Fuquay Varina, NC
- NPI 1487845020
-
- Durable Medical Equipment & Medical Supplies
- Longboat Key, FL
- NPI 1427936889
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
-
- Physical Therapist
- Raleigh, NC
- NPI 1245648534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1336921196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "502-882-9379",
"fax_number": "502-587-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 MARTIN LUTHER KING PKWY",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076336",
"telephone_number": "919-748-4980",
"fax_number": "919-816-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO TIGRE",
"first_name": "JONATHAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.