Active NPI
Susan R Castle, MSPT
- Pediatric Physical Therapist
- Lexington, KY
National Provider Identifier
1346740644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 003781
- Practice address
- 710 East Main Street
Lexington, KY 40502 - Phone
- (589) 629-6106
- Fax
- (859) 422-6712
- NPI assigned
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 003781 | KY | |
| Pediatric Physical Therapist | 2251P0200X | 003781 | KY | Primary |
Addresses
Primary practice location
710 East Main Street
Lexington, KY 40502
Mailing address
710 East Main Street
Lexington, KY 40502
Phone (589) 629-6106
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 |
|---|---|---|---|
| 003781 | KY | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1346740644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 EAST MAIN STREET",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40502",
"telephone_number": "589-629-6106",
"fax_number": "859-422-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 EAST MAIN STREET",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40502",
"telephone_number": "589-629-6106",
"fax_number": "859-422-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTLE",
"first_name": "SUSAN",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "KY",
"license": "003781",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "KY",
"license": "003781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.