Active NPI
Kristen Rachelle Castro, OTR/L
- Occupational Therapist
- Princeton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1351
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1351 | WV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WV Therapy Services LLC | Current | 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.