Active NPI
Daniela Castillo
- Occupational Therapy Assistant
- Kissimmee, FL
National Provider Identifier
1063131969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA19092
- Practice address
- 1000 Emmett St Ste 102
Kissimmee, FL 34741-3605 - Phone
- (407) 913-1010
- NPI assigned
- Aug 24, 2022
- Last updated
- Aug 24, 2022
- 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 Therapy Assistant | 224Z00000X | OTA19092 | FL | Primary |
Addresses
Primary practice location
1000 Emmett St Ste 102
Kissimmee, FL 34741-3605
Mailing address
1000 Emmett St Ste 102
Kissimmee, FL 34741-3605
Phone (407) 913-1010
Other practice location 1
820 Cypress Pkwy Ste B
Kissimmee, FL 34759-3424
Phone (407) 913-1010
Other practice location 2
4119 Neptune Rd
Saint Cloud, FL 34769-6741
Phone (497) 913-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA19092 | Other | FL | FL OT LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA19092 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy World LLC | Past | Accepting new patients | |
| Therapy World LLC | Past | Accepting new patients | |
| Therapy World LLC | 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, 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": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1063131969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EMMETT ST STE 102",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347413605",
"telephone_number": "407-913-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EMMETT ST STE 102",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347413605",
"telephone_number": "407-913-1010"
}
],
"practiceLocations": [
{
"address_1": "820 Cypress Pkwy Ste B",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347593424",
"country_code": "US",
"telephone_number": "407-913-1010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4119 Neptune Rd",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "FL",
"postal_code": "347696741",
"country_code": "US",
"telephone_number": "497-913-1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "DANIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA19092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL OT LICENSE",
"identifier": "OTA19092",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.