Rick Castellini
Individual provider Active NPI Physical Therapist · Raton, NM
NPI 1407261985 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1407261985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT22054 (NM)
- Practice address
- 15 S Pond LN
Raton, NM 87740-3061 - Phone
- (970) 201-0494
- NPI assigned
- Jun 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10554 | AZ | MD | Physical Therapist |
| PT22054 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Eldercare Rehabilitation Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10554 | AZ | |
| Physical Therapist | 225100000X | PT22054 | NM | Yes |
Addresses
Primary practice location
15 S Pond LN
Raton, NM 87740-3061
Mailing address
15 S Pond LN
Raton, NM 87740-3061
Phone (970) 201-0494
Other providers in Raton, NM
- Tanaye Marie Carroll-Maez
- Anna Caruana
- Lee C Caruana
- Connie Casias
- Casita Alegra LLC
- Charles L Secora
- Louisa Gayle Chavez
- Kelli Chiaramonte
- Sydney L. Chilton
- Gail Cimino
All providers in Raton, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.