NPIMap

Individual provider Active NPI

Katy Brooke Castell, P.T.

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1447506985
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24073 Issued in MD
Practice address
708 E Franklin Ave
Silver Spring, MD 20901-4708
Phone
(301) 706-9218
NPI assigned
Aug 2, 2012
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 24073 MD Primary

Addresses

Primary practice location

708 E Franklin Ave
Silver Spring, MD 20901-4708

Mailing address

708 E Franklin Ave
Silver Spring, MD 20901-4708
Phone (301) 706-9218

Other names 1

  • Katy Brooke Dolan Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
24073MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Petite Physio and Wellness LLC Physical Therapist CurrentSince Oct 22, 2023 Accepting new patients
Proflex Physical Therapy of Maryland, LLC. Physical Therapist PastSince Oct 1, 2016 Accepting new patients
Proflex Physical Thearpy of Maryland, LLC Past Accepting new patients
Proflex Physical Therapy of Maryland, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1447506985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E FRANKLIN AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014708",
            "telephone_number": "301-706-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E FRANKLIN AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014708",
            "telephone_number": "301-706-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELL",
        "first_name": "KATY",
        "middle_name": "BROOKE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "DOLAN",
            "middle_name": "BROOKE",
            "credential": "P.T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.