Active NPI
Cristina Lacsina Castillo, PT, CKTP
- Physical Therapist
- Chicago, IL
National Provider Identifier
1720350622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070015235
- Practice address
- 1366 W. Fullerton Ave.,
Chicago, IL 60614 - Phone
- (773) 248-9300
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 8, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070015235 | IL | Primary |
Addresses
Primary practice location
1366 W. Fullerton Ave.,
Chicago, IL 60614
Mailing address
5432 N. Lynch Ave.
Chicago, IL 60630
Phone (773) 853-0434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070015235 | Other | IL | STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
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 |
|---|---|---|---|
| 070015235 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1720350622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5432 N. LYNCH AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60630",
"telephone_number": "773-853-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1366 W. FULLERTON AVE.,",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-248-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "CRISTINA",
"middle_name": "LACSINA",
"credential": "PT, CKTP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070015235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
"identifier": "070015235",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.