Elizabeth J Castela, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-013982 Issued in AZ

Practice address

41125 N Daisy Mountain Dr Ste 121
Anthem, AZ 85086-4964

Phone

(623) 551-9706

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elizabeth J Cannon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Orthopedic & Sport Rehab Specialists at Anthem, LLC

  • Physical Therapist
  • Anthem, AZ
  • NPI 1821109356
  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1902536303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 E BROWN RD UNIT 24",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054845",
            "telephone_number": "720-236-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR STE 121",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864964",
            "telephone_number": "623-551-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELA",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-013982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CANNON",
            "middle_name": "J",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carelink of Arizona LLC
• Robin Carle, LPC
• Dayna Ann Carlson, SLPA
• Christina Carolan
• Robin Lee Carter, RPH
• Center for Orthopedic Research and Education Inc
• Maham Fayyaz Chaudhry, DMD
• Yangming Meader Chen, ACUPUNCTURIST
• Michelle E Choi, DDS
• Christine a Smith PL

• Physical Therapy Assistant in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.