Healthcare Provider Details

I. General information

NPI: 1477457778
Provider Name (Legal Business Name): SAGE ARMANI CASTRO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 E ROCKTON RD
ROSCOE IL
61073-7641
US

IV. Provider business mailing address

408 S MAIN ST APT 303
JANESVILLE WI
53545-4890
US

V. Phone/Fax

Practice location:
  • Phone: 815-525-4410
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.026609
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: