Dustin Castleberry, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3130087 Issued in TX

Practice address

20873 Eva St Ste C
Montgomery, TX 77356-1975

Phone

(936) 597-5323

Fax

(936) 597-8914

NPI assigned

Jan 9, 2023

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1346954989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20873 EVA ST STE C",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561975",
            "telephone_number": "936-597-5323",
            "fax_number": "936-597-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20873 EVA ST STE C",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561975",
            "telephone_number": "936-597-5323",
            "fax_number": "936-597-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "DUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3130087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3130087",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.montgomerypt.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20873 Eva St Ste C",
            "city": "Montgomery",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773561975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "montgomerypt.com",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20873 Eva St Ste C",
            "city": "Montgomery",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773561975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenae Patrice Carrington
• David Scott Carwile, D.D.S.
• John Matthew Carwile, MD
• Aimee Castillo, LPC ASSOCIATE
• Diane Castle
• Catherine Moser LLC (Assumed Name: Heartland Transit)
• Celestia, LLC
• Chad Arthur Orthodontics, PLLC
• Chance to Change Supportive Services of Georgia Inc
• Change Point Therapy Services, LLC

• Physical Therapist in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.