Individual provider Active NPI

Fernando Castellano

  • Occupational Therapist
  • McAllen, TX
National Provider Identifier
1316293970
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114765 Issued in TX
Practice address
2708 Baylor Ave
McAllen, TX 78504-5538
Phone
(956) 984-9225
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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 114765 TX Primary

Addresses

Primary practice location

2708 Baylor Ave
McAllen, TX 78504-5538

Mailing address

2708 Baylor Ave
McAllen, TX 78504-5538
Phone (956) 984-9225

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

LicenseStateTypeSpecialty
114765TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Gainz Therapy Center LLC 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, 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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1316293970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 BAYLOR AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045538",
            "telephone_number": "956-984-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 BAYLOR AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045538",
            "telephone_number": "956-984-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "FERNANDO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.