Individual provider Active NPI

Kayla Castro

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1023576048
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044166 Issued in NY
Practice address
1243 Woodrow Rd Ste 321
Staten Island, NY 10309-1725
Phone
(201) 801-7141
NPI assigned
Mar 8, 2019
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 044166 NY Primary

Addresses

Primary practice location

1243 Woodrow Rd Ste 321
Staten Island, NY 10309-1725

Mailing address

900 Route 9 N Ste 410
Woodbridge, NJ 07095-1003
Phone (201) 801-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200206002317 NY Practitioner - Physical Therapist in Private Practice 7214363415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
J. Lamendola Physical Therapy, P.C.Group PAC ID 6800141565, 13 clinicians
Maximous PT PLLCGroup PAC ID 5799147443, 2 clinicians

Practice addresses (Care Compare)

1100 Clove Rd
Apt GC
Staten Island, NY 10301-3632
Phone (718) 816-6500

75 Putnam St
Staten Island, NY 10312-3811
Phone (646) 240-5299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044166NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MFS Orthopedics PC CurrentSince Jul 11, 2022 Accepting new patients
J. Lamendola Physical Therapy, P.C. Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients

Locations

236 Richmond Valley Rd
Ste 16
Staten Island, NY 10309

456 Arlene St
Staten Island, NY 10314
Phone (718) 477-9797

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1023576048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 9 N STE 410",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951003",
            "telephone_number": "201-801-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 WOODROW RD STE 321",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091725",
            "telephone_number": "201-801-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.