Omar E Castillo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38079 Issued in FL

Practice address

4900 S University Dr Ste 106
Davie, FL 33328-3809

Phone

(954) 703-5151

Fax

(954) 703-2282

NPI assigned

Feb 15, 2022

Last updated

Jun 17, 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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chief Physical Therapy and Sports Medicine LLCGroup PAC ID 9931405180, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chief Physical Therapy and Sports Medicine LLC

  dba South Florida Physical Therapy and Sports Rehab

  • Physical Therapy Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1730562109

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Doral Physical Therapy L.L.C.

  • Physical Therapy Clinic/Center
  • Doral, FL
  • NPI 1194129908

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1366197642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S UNIVERSITY DR STE 106",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283809",
            "telephone_number": "954-703-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S UNIVERSITY DR STE 106",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283809",
            "telephone_number": "954-703-5151",
            "fax_number": "954-703-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "OMAR",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "38079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Andrea Castillo-Rivera
• Brandon Castillo, BCBA
• Elisbey Castillo
• Gabriella Castillo
• Maria Eugenia Castillo, LCSW
• Elizabeth Castro Allen, LMT DOULA C.I.M.I
• Mara Castro Quintero
• Waila E Castro Rosado
• Alana Castro
• Erika Jewel Castro

• Physical Therapist in Davie, FL
• Providers in Davie, FL by specialty
• Physical Therapist in Florida

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

Verify at the official NPI Registry.