Active NPI
Lillian Castro, LMT
- Massage Therapist
- Jacksonville, FL
National Provider Identifier
1649583592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA95712
- Practice address
- 12627 San Jose Blvd Ste 902
Jacksonville, FL 32223-8645 - Phone
- (615) 484-6748
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA95712 | FL | Primary |
Addresses
Primary practice location
12627 San Jose Blvd Ste 902
Jacksonville, FL 32223-8645
Mailing address
10325 Walnut BND N
Jacksonville, FL 32257-6434
Phone (615) 484-6748
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA95712 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1649583592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10325 WALNUT BND N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322576434",
"telephone_number": "615-484-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12627 SAN JOSE BLVD STE 902",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238645",
"telephone_number": "615-484-6748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "LILLIAN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA95712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.