Active NPI
Indiana Castillo, OT
- Occupational Therapist
- Pembroke Pines, FL
National Provider Identifier
1114579463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT18240
- Practice address
- 13460 SW 10TH St Ste 102
Pembroke Pines, FL 33027-1833 - Phone
- (954) 514-5447
- Fax
- (954) 544-5445
- NPI assigned
- Jul 16, 2019
- 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 Therapist | 225X00000X | OT18240 | FL | Primary |
Addresses
Primary practice location
13460 SW 10TH St Ste 102
Pembroke Pines, FL 33027-1833
Mailing address
13460 SW 10TH St Ste 102
Pembroke Pines, FL 33027-1833
Phone (954) 514-5447
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT18240 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devoted Medical Equipment PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Pompano Beach, FL
- NPI 1043826639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1114579463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13460 SW 10TH ST STE 102",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271833",
"telephone_number": "954-514-5447",
"fax_number": "954-544-5445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13460 SW 10TH ST STE 102",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271833",
"telephone_number": "954-514-5447",
"fax_number": "954-544-5445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "INDIANA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT18240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.