Active NPI
Christie Castillo Watson, OTR/L
- Occupational Therapist
- Titusville, FL
National Provider Identifier
1124259528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23197
- Practice address
- 5650 S Washington Ave
Titusville, FL 32780-7312 - Phone
- (321) 264-0855
- NPI assigned
- Aug 3, 2009
- 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 | 23197 | FL | Primary |
Addresses
Primary practice location
5650 S Washington Ave
Titusville, FL 32780-7312
Mailing address
3290 Burrowing Owl Dr
Mims, FL 32754-3033
Phone (732) 470-4187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23197 | Other | FL | STATE OF FLORIDA DEPT OF HEALTH |
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 |
|---|---|---|---|
| 23197 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Occupational Therapists, Inc. | Occupational Therapist | 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.
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- NPI 1245257906
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1124259528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 BURROWING OWL DR",
"city": "MIMS",
"state": "FL",
"postal_code": "327543033",
"telephone_number": "732-470-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 S WASHINGTON AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327807312",
"telephone_number": "321-264-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CHRISTIE",
"middle_name": "CASTILLO",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-03",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "23197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA DEPT OF HEALTH",
"identifier": "23197",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.