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

Jesse Castillo, DPT

Individual provider Physical Therapist · NPI 1760267371

Jesse Castillo, DPT is a Physical Medicine and Rehabilitation in Rexburg, Idaho. Qualified in 2023, 3 years ago. Practices with Spine and Sport Pysical Therapy PC, a 4-clinician group. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

217 N 2nd E
Rexburg, ID 83440-1621
Phone: (208) 359-6127
Fax: (208) 359-9479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-8804 (ID)

Record details

NPI number1760267371
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 30, 2023
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address217 N 2nd E, Rexburg, ID 83440-1621

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Spine And Sport Pysical Therapy Pc — 4 clinicians
Accepts Medicare assignment Not indicated

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