Provider Demographics
NPI:1003880048
Name:CASTELLI, JOSEPH (PT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:CASTELLI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1556 3RD AVE
Mailing Address - Street 2:2ND FLOOR, SUITE 210-211
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3100
Mailing Address - Country:US
Mailing Address - Phone:646-734-5092
Mailing Address - Fax:646-863-2650
Practice Address - Street 1:1556 3RD AVE
Practice Address - Street 2:2ND FLOOR SUITE 210-211
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3100
Practice Address - Country:US
Practice Address - Phone:646-734-5092
Practice Address - Fax:646-863-2650
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021420-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist