JESSE CASTILLO (DPT) – Physical Therapist, NPI 1760267371

JESSE CASTILLO (DPT) is a healthcare provider. based in Rexburg, Idaho. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DPT. They hold a License No. PT-8804 (ID). The NPI Number for JESSE CASTILLO (DPT) is 1760267371

Main info

Male
Sole Proprietor
3 Years Of Experience
Name
JESSE CASTILLO (DPT)
NPI
1760267371
Phone
(208) 359-6127
Address
217 N 2ND E
Enumeration Date
30 August 2023
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083596127
Graduation Year
2023 (3 years ago)
PAC ID
1153778295
Group Practice PAC ID
5799772380
Professional Enrollment ID
I20231109003722
Address ID
ID834401621RE217XX2NDX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

64 PHYSICAL MEDICINE AND REHABILITATION in ID

Provider Addresses for JESSE CASTILLO (DPT)

  • 217 N 2ND E

    REXBURG, ID 834401621

    Phone: (208) 359-6127

    Fax: (208) 359-9479

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231109003722IPhysical Medicine And RehabilitationIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities5811$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3111$0
View full utilization report →

Insurance plans in this area (ZIP 83440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799772380View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeNV

Reviews

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Frequently asked questions

What number should I use to identify JESSE CASTILLO (DPT) for billing?
Administrative and clinical systems typically use NPI 1760267371 for JESSE CASTILLO (DPT).
Should I treat JESSE CASTILLO (DPT) as an active provider?
Patients and plans typically see JESSE CASTILLO (DPT) as active in the national extract.
Which specialty label fits JESSE CASTILLO (DPT)?
NPPES ties JESSE CASTILLO (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JESSE CASTILLO (DPT)?
JESSE CASTILLO (DPT) shows a connection to Rexburg, Idaho in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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