Individual provider Active NPI

Kristen Rachelle Castro, OTR/L

  • Occupational Therapist
  • Princeton, WV
National Provider Identifier
1144419565
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1351 Issued in WV
Practice address
315 Manchester CT
Princeton, WV 24740-4263
Phone
(562) 253-5201
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1351 WV Primary

Addresses

Primary practice location

315 Manchester CT
Princeton, WV 24740-4263

Mailing address

1635 Pluto Rd
Shady Spring, WV 25918-8029
Phone (562) 253-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410000268 VA Practitioner - Occupational Therapist in Private Practice 8022530401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Avery Olivia Way
Suite C
Fairmont, WV 26554-9375

415 Benedum Dr
Bridgeport, WV 26330-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1351WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
WV Therapy Services LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

900 Cary Shop Rd
Burkeville, VA 23922
Phone (304) 842-9887

415 Benedum Dr
Bridgeport, WV 26330
Phone (304) 842-9887

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, 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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1144419565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 PLUTO RD",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188029",
            "telephone_number": "562-253-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MANCHESTER CT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247404263",
            "telephone_number": "562-253-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KRISTEN",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.