Individual provider Active NPI

Caroline C Castro, PT, DPT

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1942918958
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP037270T Issued in MD
Practice address
6308 Democracy Blvd
Bethesda, MD 20817-1664
Phone
(301) 530-2383
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02127800 NJ
Physical Therapist 225100000X 2305215495 VA
Physical Therapist 225100000X CP037270T MD Primary

Addresses

Primary practice location

6308 Democracy Blvd
Bethesda, MD 20817-1664

Mailing address

248 Carr Ave Apt a
Keansburg, NJ 07734-1451
Phone (732) 895-5843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230106001801 VA Practitioner - Physical Therapist in Private Practice 2365812484 Reassigns benefits to 2 organizations
I20230918003933 SC Practitioner - Physical Therapist in Private Practice 2365812484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11852SCMDClinical Social Worker
CP037270TMDMDPhysical Therapist
40QA02127800NJMDPhysical Therapist
2305215495VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Apexnetwork Ladysmith VA, LLC CurrentSince Nov 22, 2022 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

18121 US Route 1 Hwy
Ste 1
Ruther Glen, VA 22546
Phone (804) 412-8922

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1942918958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 CARR AVE APT A",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341451",
            "telephone_number": "732-895-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 DEMOCRACY BLVD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171664",
            "telephone_number": "301-530-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "CAROLINE",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02127800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215495",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "CP037270T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.