Individual provider Active NPI

Denise Altagracia Castillo, OTR/L

  • Occupational Therapist
  • New Rochelle, NY
National Provider Identifier
1053148973
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
029402 Issued in NY
Practice address
39 Fountain PL Apt 1B
New Rochelle, NY 10801-6563
Phone
(914) 510-3061
NPI assigned
Sep 16, 2024
Reactivated
Nov 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 029402 NY Primary

Addresses

Primary practice location

39 Fountain PL Apt 1B
New Rochelle, NY 10801-6563

Mailing address

39 Fountain PL Apt 1B
New Rochelle, NY 10801-6563
Phone (914) 510-3061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102001839 NY Practitioner - Occupational Therapist in Private Practice 1456888486 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Single Specialty CurrentSince Jan 20, 2026 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Spear Physical and Occupational Therapy, LLC Single Specialty CurrentSince Jan 13, 2025 Accepting new patients
Spear Physical and Occupational Therapy, LLC Occupational Therapist Past Accepting new patients

Locations

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 4

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1053148973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FOUNTAIN PL APT 1B",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016563",
            "telephone_number": "914-510-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FOUNTAIN PL APT 1B",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016563",
            "telephone_number": "914-510-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "DENISE",
        "middle_name": "ALTAGRACIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "deactivation_date": "2024-10-16",
        "reactivation_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.