Kelli Casto

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

10961 Issued in FL

Practice address

609 Stanley Ave
Clarksburg, WV 26301-3127

Phone

(727) 501-4609

NPI assigned

Apr 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1104169408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 STANLEY AVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263013127",
            "telephone_number": "727-501-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 STANLEY AVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263013127",
            "telephone_number": "727-501-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTO",
        "first_name": "KELLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "10961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Jean Carroll
• Geneva Carroll
• Jada Carroll
• Raji Carson, OTR/L
• Lisa Carter
• Matthew Joseph Casto
• Robert Casto
• Central WV Community Action
• Jessica Chadwick
• Angela Jean Chamberlain

• Occupational Therapy Assistant in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.