Individual provider Active NPI

Alisha Castello

  • Massage Therapist
  • Fleming Island, FL
National Provider Identifier
1700639598
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA85567 Issued in FL
Practice address
1835 Eastwest Pkwy Ste 3
Fleming Island, FL 32003-5310
Phone
(904) 264-3770
Fax
(904) 264-5885
NPI assigned
Apr 10, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA85567 FL Primary

Addresses

Primary practice location

1835 Eastwest Pkwy Ste 3
Fleming Island, FL 32003-5310

Mailing address

1835 Eastwest Pkwy Ste 3
Fleming Island, FL 32003-5310
Phone (904) 264-3770

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

LicenseStateTypeSpecialty
MA85567FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fleming Island Family Chiropractic CurrentSince Apr 14, 2024 Accepting new patients

Locations

1835 Eastwest Pkwy
Ste 3
Orange Park, FL 32003
Phone (904) 264-3770

Organizations & group practices 1

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": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1700639598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 EASTWEST PKWY STE 3",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320035310",
            "telephone_number": "904-264-3770",
            "fax_number": "904-264-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 EASTWEST PKWY STE 3",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320035310",
            "telephone_number": "904-264-3770",
            "fax_number": "904-264-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLO",
        "first_name": "ALISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA85567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.