Active NPI
Jaclyn Michele Belcastro, MS,OT R/L
- Occupational Therapist
- Bridgeport, WV
National Provider Identifier
1003094343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1349
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810010303 | Medicaid | WV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1349 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Speech-Language Pathologist
- Bridgeport, WV
- NPI 1306160908
Occupational Therapist
-
- Speech-Language Pathologist
- Bridgeport, WV
- NPI 1760067326
Occupational Therapist
-
- Rehabilitation Chiropractor
- Bridgeport, WV
- NPI 1609083906
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.