Individual provider Active NPI

Marcelo Castro, PT, DPT

  • Physical Therapist
  • Bethlehem, PA
National Provider Identifier
1942728753
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032957 Issued in PA
Practice address
4025 Green Pond Rd
Bethlehem, PA 18020-9662
Phone
(610) 882-4110
NPI assigned
Aug 31, 2017
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01735500 NJ
Physical Therapist 225100000X PT032957 PA Primary

Addresses

Primary practice location

4025 Green Pond Rd
Bethlehem, PA 18020-9662

Mailing address

1089 Summit Ave Apt 8
Jersey City, NJ 07307-3466
Phone (201) 564-8240

Other practice location 1

6612 Bergenline Ave
West New York, NJ 07093-1719
Phone (201) 854-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005000273 NJ Practitioner - Physical Therapist in Private Practice 7113292863 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1089 Summit Ave
Apt 8
Jersey City, NJ 07307-3466

4511 New York Ave
Unit 4
Union City, NJ 07087-2784
Phone (201) 552-0379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01735500NJMDPhysical Therapist
PT032957PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare Physical Therapy & Wellness LLC Physical Therapist CurrentSince Dec 18, 2020 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Aug 31, 2017 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Aug 31, 2017 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Ying Shim, MD PA Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

6612 Bergenline Ave
#18
West New York, NJ 07093
Phone (201) 845-5511

63 Lacey Rd
Ste H
Whiting, NJ 08759
Phone (732) 716-0111

Organizations & group practices 5

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1942728753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 SUMMIT AVE APT 8",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073466",
            "telephone_number": "201-564-8240",
            "fax_number": "201-221-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 GREEN POND RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209662",
            "telephone_number": "610-882-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6612 Bergenline Ave",
            "address_purpose": "LOCATION",
            "city": "West New York",
            "state": "NJ",
            "postal_code": "070931719",
            "country_code": "US",
            "telephone_number": "201-854-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MARCELO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01735500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.