Individual provider Active NPI

Angelo Locastro, PT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1780608810
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21879 Issued in FL
Practice address
220 Congress Park Dr Ste 125
Delray Beach, FL 33445-4664
Phone
(561) 789-1633
Fax
(561) 819-6311
NPI assigned
Jul 26, 2006
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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 PT21879 FL Primary

Addresses

Primary practice location

220 Congress Park Dr Ste 125
Delray Beach, FL 33445-4664

Mailing address

220 Congress Park Dr Ste 125
Delray Beach, FL 33445-4664
Phone (561) 789-1633

Other identifiers 1

IdentifierTypeStateIssuer
1780608810OtherFLNPI #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000448 FL Practitioner - Physical Therapist in Private Practice 0244232197 Practice locations: Delray Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Congress Park Dr
Suite 125
Delray Beach, FL 33445-4664
Phone (561) 789-1633

3002 Cardinal Dr
Delray Beach, FL 33444-1835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Back Pain Management Inc PastSince Oct 1, 2006 Accepting new patients

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1780608810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CONGRESS PARK DR STE 125",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454664",
            "telephone_number": "561-789-1633",
            "fax_number": "561-819-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CONGRESS PARK DR STE 125",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454664",
            "telephone_number": "561-789-1633",
            "fax_number": "561-819-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCASTRO",
        "first_name": "ANGELO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1780608810",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.