Active NPI
Fermin Castro, OTR
- Occupational Therapist
- Bluefield, VA
National Provider Identifier
1487948006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005107
- Practice address
- 20 Westwood Memorial Park
Bluefield, VA 24605 - Phone
- (276) 322-5439
- Fax
- (276) 322-5442
- NPI assigned
- May 31, 2011
- Last updated
- May 31, 2011
- Sex
- Male
- 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 | 0119005107 | VA | Primary |
Addresses
Primary practice location
20 Westwood Memorial Park
Bluefield, VA 24605
Mailing address
315 Manchester CT
Princeton, WV 24740-4263
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 |
|---|---|---|---|
| 0119005107 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1487948006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MANCHESTER CT",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247404263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WESTWOOD MEMORIAL PARK",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "24605",
"telephone_number": "276-322-5439",
"fax_number": "276-322-5442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "FERMIN",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluefield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.