Spencer Elliot Castillo, DPT | |
1961 Cardinal Ln Ste A, Faribault, MN 55021-4354 | |
(507) 333-2986 | |
(507) 333-2918 |
Full Name | Spencer Elliot Castillo |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 1961 Cardinal Ln Ste A, Faribault, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669089546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12057 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehabilitation Services Wi Llc | 1658647581 | 109 |
Provider Name | Fox Rehabilitation Services Wi Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
Mailing Address | Practice Location Address |
---|---|
Spencer Elliot Castillo, DPT 7581 9th St N Ste 100, Oakdale, MN 55128-6635 Ph: (651) 748-4338 | Spencer Elliot Castillo, DPT 1961 Cardinal Ln Ste A, Faribault, MN 55021-4354 Ph: (507) 333-2986 |
Sarah Ann Jentink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 State Ave, Faribault, MN 55021 Phone: 507-332-4790 | |
Dr. Liana Blomgren, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Maria Bohl, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 Fax: 507-333-2918 | |
Mrs. Amy Renee Willingham, PHYSICALTHERAPISTMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 17th St Nw, Faribault, MN 55021 Phone: 507-332-2204 Fax: 507-332-2270 | |
Jason Niemann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1961 Cardinal Ln Ste A, Faribault, MN 55021 Phone: 507-333-2986 | |
Nathan A Moldestad, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 8th Ave Nw, Suite 4, Faribault, MN 55021 Phone: 507-334-5627 Fax: 507-334-1824 | |
Kelly Kitzman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1520 17th St Nw, Faribault, MN 55021 Phone: 218-205-0190 |