Individual provider Active NPI

Jaclyn Michele Belcastro, MS,OT R/L

  • Occupational Therapist
  • Bridgeport, WV
National Provider Identifier
1003094343
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1349 Issued in WV
Practice address
141 State St.
Best Life Therapy LLC
Bridgeport, WV 26330-1375
Phone
(304) 933-3073
Fax
(304) 933-3187
NPI assigned
Feb 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1349 WV Primary

Addresses

Primary practice location

141 State St.
Best Life Therapy LLC
Bridgeport, WV 26330-1375

Mailing address

141 State St.
Best Life Therapy LLC
Bridgeport, WV 26330-1375
Phone (304) 933-3073

Other identifiers 1

IdentifierTypeStateIssuer
3810010303MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1349WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Therapy LLC Occupational Therapist Past Accepting new patients
Romesburg'S North Central Chiropractic Clinic Past Accepting new patients
Integrated Speech Solutions Occupational Therapist PastSince Mar 21, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1003094343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 STATE ST.",
            "address_2": "BEST LIFE THERAPY LLC",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301375",
            "telephone_number": "304-933-3073",
            "fax_number": "304-933-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 STATE ST.",
            "address_2": "BEST LIFE THERAPY LLC",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301375",
            "telephone_number": "304-933-3073",
            "fax_number": "304-933-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCASTRO",
        "first_name": "JACLYN",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "MS,OT R/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010303",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.