Active NPI
Durma Morada Castillo, OTR/L
- Pediatric Occupational Therapist
- Fresh Meadows, NY
National Provider Identifier
1144539818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 009396-1
- Practice address
- 7729 Parsons Blvd
Fresh Meadows, NY 11366-1927 - Phone
- (212) 786-2939
- NPI assigned
- Sep 29, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 009396-1 | NY | Primary |
Addresses
Primary practice location
7729 Parsons Blvd
Fresh Meadows, NY 11366-1927
Mailing address
7729 Parsons Blvd
Fresh Meadows, NY 11366-1927
Phone (212) 786-2939
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 |
|---|---|---|---|
| 009396-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1144539818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7729 PARSONS BLVD",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661927",
"telephone_number": "212-786-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7729 PARSONS BLVD",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661927",
"telephone_number": "212-786-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "DURMA",
"middle_name": "MORADA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "009396-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.