Individual provider Active NPI

Libah Gonzalez Castrillo, P.T.

  • Physical Therapist
  • Casselberry, FL
National Provider Identifier
1932484557
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3452 Issued in FL
Practice address
3577 Jericho Dr
Casselberry, FL 32707-6210
Phone
(407) 949-9495
NPI assigned
Oct 14, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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 3452 FL Primary

Addresses

Primary practice location

3577 Jericho Dr
Casselberry, FL 32707-6210

Mailing address

3577 Jericho Dr
Casselberry, FL 32707-6210
Phone (407) 949-9495

Other names 1

  • Libah G. Castrillo Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1932484557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 JERICHO DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076210",
            "telephone_number": "407-949-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 JERICHO DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076210",
            "telephone_number": "407-949-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRILLO",
        "first_name": "LIBAH",
        "middle_name": "GONZALEZ",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "3452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBAH",
            "last_name": "CASTRILLO",
            "middle_name": "G.",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.