Individual provider Active NPI

Alyssa Jo Castillo, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1770422784
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1408071 Issued in TX
Practice address
2130 NE Loop 410 Ste 212
San Antonio, TX 78217-4662
Phone
(210) 656-5848
Fax
(210) 656-5847
NPI assigned
Mar 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1408071 TX Primary

Addresses

Primary practice location

2130 NE Loop 410 Ste 212
San Antonio, TX 78217-4662

Mailing address

2130 NE Loop 410 Ste 212
San Antonio, TX 78217-4662
Phone (210) 656-5848

Other practice location 1

3138 SE Military Dr Ste F113
San Antonio, TX 78223-3893
Phone (210) 922-6292

Other practice location 2

17006 San Pedro Ave
San Antonio, TX 78232-2231
Phone (210) 490-4738

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260417003308 TX Practitioner - Physical Therapist in Private Practice 6305312232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2130 NE Loop 410
Suite 212
San Antonio, TX 78217-4662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1408071TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Rehabilitation Specialists Inc Physical Therapist CurrentSince Mar 9, 2026 Accepting new patients
Liberty Rehabilitation Specialists Inc Physical Therapist PastSince Mar 9, 2026 Accepting new patients

Locations

3138 SE Military Dr
Ste F113
San Antonio, TX 78223
Phone (210) 922-6292

17006 San Pedro Ave
San Antonio, TX 78232
Phone (210) 490-4738

2130 NE Loop 410
Ste 212
San Antonio, TX 78217
Phone (210) 656-5848

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1770422784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 NE LOOP 410 STE 212",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174662",
            "telephone_number": "210-656-5848",
            "fax_number": "210-656-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 NE LOOP 410 STE 212",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174662",
            "telephone_number": "210-656-5848",
            "fax_number": "210-656-5847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3138 SE Military Dr Ste F113",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782233893",
            "country_code": "US",
            "telephone_number": "210-922-6292",
            "fax_number": "210-922-6302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17006 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782322231",
            "country_code": "US",
            "telephone_number": "210-490-4738",
            "fax_number": "210-490-5231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ALYSSA",
        "middle_name": "JO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1408071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.