Individual provider Active NPI

Dylan Castro, DPT

  • Physical Therapist
  • Easley, SC
National Provider Identifier
1952049033
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP048197T Issued in SC
Practice address
1664 E Main St
Easley, SC 29640-3790
Phone
(864) 654-2001
NPI assigned
May 26, 2022
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 CP048197T SC Primary
Physical Therapist 225100000X
Physical Therapist 225100000X 11211 LA

Addresses

Primary practice location

1664 E Main St
Easley, SC 29640-3790

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395

Other practice location 1

663 Jordan St
Shreveport, LA 71101-4748
Phone (318) 222-8892 ext. 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, RI, LA, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220707003458 WA Practitioner - Physical Therapist in Private Practice 0446630404 Reassigns benefits to 1 organization
I20230524001720 RI Practitioner - Physical Therapist in Private Practice 0446630404 Reassigns benefits to 1 organization
I20250129003370 LA Practitioner - Physical Therapist in Private Practice 0446630404 Reassigns benefits to 1 organization
I20260602000606 SC Practitioner - Physical Therapist in Private Practice 0446630404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

1664 E Main St
Easley, SC 29640-3790
Phone (864) 654-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11211LAMDPhysical Therapist
CP048197TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Multicare Health System CurrentSince Jun 3, 2022 Accepting new patients
Brewer Physical Therapy & Associates LLC CurrentSince Jan 13, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jun 3, 2022 Accepting new patients
Multicare Health System Physical Therapist PastSince May 29, 2022 Accepting new patients
Select Physical Therapy Texas Limited Partnership PastSince Feb 2, 2025 Accepting new patients
Theraworks Inc Past Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

4970 Barksdale Blvd
Ste 900
Bossier City, LA 71112
Phone (318) 747-8892

663 Jordan St
Shreveport, LA 71101
Phone 3182228892 ext. 1

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

982 Tiogue Ave
Coventry, RI 02816
Phone (401) 615-3140

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

19321 Mountain Hwy E
Ste 100
Spanaway, WA 98387
Phone (253) 846-8126

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

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": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1952049033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 E MAIN ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403790",
            "telephone_number": "864-654-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "663 Jordan St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014748",
            "country_code": "US",
            "telephone_number": "318-222-8892 x1",
            "fax_number": "318-222-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "DYLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP048197T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.