ELIJAH CASTILLO (NPI# 1811480916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811480916 |
| Entity Type | Individual |
| Full Name | ELIJAH CASTILLO |
| Credential | MT, LE |
| Practice Address |
6117 N College Ave Ste 2 Indianapolis IN 46220-1952 |
| Mailing Address |
9877 Commonwealth Dr Fishers IN 46038-8849 |
| Practice Telephone | 3178139244 |
| Mailing Telephone | 3178139244 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT21204373 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6117 N COLLEGE AVE STE 2 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281297 | Amanda Joy Smith | Massage Therapist | 4915 Rue Vallee Apt 89, Indianapolis, IN 46227-6660 | 2020-09-28 |
| 1154937837 | Andrenique Coleman | Massage Therapist | 815 Hardin Blvd Apt C, Indianapolis, IN 46241-1987 | 2020-09-18 |
| 1255944203 | Julia Piner | Massage Therapist | 303 S Delaware St, Indianapolis, IN 46204-3747 | 2020-08-28 |
| 1427660554 | Michael Frederick Vermilyer | Massage Therapist | 4340 W 96th St Ste 101, Indianapolis, IN 46268-2920 | 2020-08-19 |
| 1295358208 | Lona Talia Lyons | Massage Therapist | 335 N Harbison Ave, Indianapolis, IN 46219-5425 | 2020-05-26 |
| 1518593870 | Robert Trevor Foote | Massage Therapist | 212 W 10th St # Srb215, Indianapolis, IN 46202-5401 | 2020-03-19 |
| 1013554625 | Rebecca Marie Townsend | Massage Therapist | 970 Fort Wayne Ave, Indianapolis, IN 46202-4328 | 2019-12-02 |
| 1376188052 | Shyra Cobb | Massage Therapist | 5471 Georgetown Rd Ste B, Indianapolis, IN 46254-5794 | 2019-11-17 |
| 1912541467 | Starsiak Osteopathic Clinic LLC | Massage Therapist | 3955 Eagle Creek Pkwy Ste A, Indianapolis, IN 46254-4692 | 2019-10-28 |
| 1659922607 | Natalie Kolanowski | Massage Therapist | 821 Dr Martin Luther King Jr St Apt L, Indianapolis, IN 46202-5705 | 2019-09-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on ELIJAH CASTILLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.