Individual provider Active NPI

Dionne Docile Casthely, DO

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
National Provider Identifier
1104086644
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS11239 Issued in FL
Practice address
101 E Florida Ave
Melbourne, FL 32901-8301
Phone
(321) 872-8770
Fax
(321) 574-3815
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS11239 FL Primary

Addresses

Primary practice location

101 E Florida Ave
Melbourne, FL 32901-8301

Mailing address

2263 W New Haven Ave
#324
Melbourne, FL 32904-3805
Phone (321) 872-8770

Other identifiers 1

IdentifierTypeStateIssuer
1104086644OtherFLPTAN FJ715Z

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000500 FL Practitioner - Physical Medicine and Rehabilitation 7416129861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS11239FLMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1104086644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 W NEW HAVEN AVE",
            "address_2": "#324",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043805",
            "telephone_number": "321-872-8770",
            "fax_number": "321-574-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FLORIDA AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018301",
            "telephone_number": "321-872-8770",
            "fax_number": "321-574-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTHELY",
        "first_name": "DIONNE",
        "middle_name": "DOCILE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS11239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FJ715Z",
            "identifier": "1104086644",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.