Lorie Cast-Rebollo, DACM, MSAOM, BS, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

121987 Issued in TX

Practice address

7703 Ingram Rd Apt 2707
San Antonio, TX 78251-1759

Phone

(816) 799-1307

NPI assigned

Mar 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1497340863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 INGRAM RD APT 2707",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511759",
            "telephone_number": "816-799-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 INGRAM RD APT 2707",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511759",
            "telephone_number": "816-799-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAST-REBOLLO",
        "first_name": "LORIE",
        "name_prefix": "Dr.",
        "credential": "DACM, MSAOM, BS, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2003016478",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "121987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "7703 Ingram Rd Apt 2707",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782511759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victor Cassias
• Haley Nichole Cassidy
• Paul Cassidy
• Robert James Cassistre, LPC-INTERN
• Kassandra Alexis Casso
• Luis Antonio Castagnini, M.D
• David Martin Castanda, R.PH.
• Adrian Castaneda, ABOC
• Alex Castaneda, FNP
• Catherine Castaneda

• Massage Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.