Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Isadora Dew De Castro, PT

Individual provider Physical Therapist · NPI 1699598912

Isadora Dew De Castro, PT is a Physical Therapist in Private Practice in South Lyon, Michigan. Graduated from University of Washington School of Medicine in 2024, 2 years ago. Practices with Spine and Extremity Institute of South Lyon, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
University of Washington School of Medicine
Licensed in
MI
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

22180 Pontiac Trl Ste E
South Lyon, MI 48178-9097
Phone: (248) 446-0155
Fax: (248) 446-0177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501304017 (MI)

Record details

NPI number1699598912
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 5, 2024
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Spine And Extremity Institute Of South Lyon, L.L.C. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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