Mayra J Castaneda, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03215 Issued in KS

Practice address

6830 W 121St CT
Overland Park, KS 66209-2021

Phone

(913) 239-8777

Fax

(913) 239-0268

NPI assigned

Feb 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Summit Care, LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1033441027
  NPD (past)

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1508366451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 PACIFIC AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661013624",
            "telephone_number": "913-709-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 W 121ST CT",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092021",
            "telephone_number": "913-239-8777",
            "fax_number": "913-239-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "MAYRA",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2017030860",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mylan Cason
• Kayla Ann Casper, LMSW
• Cass Wellness LLC
• Cassy Kelly, LLC
• Renaldo Castaldi Jr.
• Pierre Castera, M.D.
• Nancy Julissa Castillo, LMLP-T
• Lisa M Castro, MD
• Jea Castrop-May, LMSW, LCSW
• Catalyst Counseling KC LLC

• All providers in Overland Park, KS
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.