Jacqueline Nicole Castellanos, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21941 Issued in FL

Practice address

7355 SW 87TH Ave Ste 300
Miami, FL 33173-3565

Phone

(305) 854-2462

Fax

(786) 542-9754

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shine Bright Therapy

  • Clinic/Center
  • Miami, FL
  • NPI 1003187873
  NPD
• Shine Bright Therapy

  • Clinic/Center
  • Miami, FL
  • NPI 1417604257

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1487225660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8445 SW 76TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331433750",
            "telephone_number": "305-331-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 SW 87TH AVE STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733565",
            "telephone_number": "305-854-2462",
            "fax_number": "786-542-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etna M Castellanos, APRN/DC
• George Castellanos, RBT
• Isabel Georgina Castellanos
• Ivette Castellanos
• Jacqueline Castellanos
• Jennifer Eve Castellanos, MSW
• Jessica Castellanos
• Jose A Castellanos
• Kaly Castellanos, ARNP
• Lensey Denisee Castellanos, PMHNP-BC

• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.