Organization Active NPI

Castaldi Physical Therapy, LLC

  • Physical Therapist
  • Scranton, PA
National Provider Identifier
1629755178
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CASTALDI PHYSICAL THERAPY, LLC
Practice address
2819 Birney Ave
Scranton, PA 18505-3129
Phone
(570) 878-6536
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Martin Castaldi, PTNPI 1699134791
Title
Owner
Phone
(570) 878-6536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2819 Birney Ave
Scranton, PA 18505-3129

Mailing address

2819 Birney Ave
Scranton, PA 18505-3129
Phone (570) 878-6536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231031000983 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779939541 Receives reassigned benefits from 4 practitioners
Practice locations: Elmhurst Township, PA; Scranton, PA

National Provider Directory

National Provider Directory

Locations

2819 Birney Ave
Scranton, PA 18505
Phone (570) 878-6536

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1629755178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 BIRNEY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053129",
            "telephone_number": "570-878-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 BIRNEY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053129",
            "telephone_number": "570-878-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTALDI PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "CASTALDI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-878-6536",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.