Alexis Castillo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

31085 Issued in FL

Practice address

Prime Physical Therapy, 4895 W Waters Ave
Tampa, FL 33615

Phone

(813) 932-3315

NPI assigned

Nov 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Flex Rehab LLC

  • Physical Therapist
  • New Port Richey, FL
  • NPI 1164279014
  NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1447916085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRIME PHYSICAL THERAPY, 4895 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-932-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIME PHYSICAL THERAPY, 4895 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33615",
            "telephone_number": "813-932-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alexcastle2020@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "non personal email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "non",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any",
            "address_1": "Prime Physical Therapy, 4895 W Waters Ave",
            "city": "tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ana Lucia Castillo Perez
• Yanet Castillo Rodriguez, APRN
• Madelen Castillo Santaelena, RBT
• Ivis Griselis Castillo Vazquez, RN
• Paula Castillo-Morfin
• Asly Manuel Castillo
• Brianna Castillo, M.D.
• Dairy Andrea Castillo, B.S
• Diana Castillo, PTA
• Gabriella Alexandra Castillo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.