Provider Demographics
NPI:1699134791
Name:CASTALDI, MARTIN JR (DPT)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:
Last Name:CASTALDI
Suffix:JR
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-258-2714
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:824 MCALPINE ST
Practice Address - Street 2:SUITE 5
Practice Address - City:AVOCA
Practice Address - State:PA
Practice Address - Zip Code:18641-1104
Practice Address - Country:US
Practice Address - Phone:570-471-7662
Practice Address - Fax:570-471-7695
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT024978225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist