Individual provider Active NPI

Lorell Lynn Castellano, OTR

  • Occupational Therapist
  • Daytona Beach, FL
National Provider Identifier
1679800916
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0720 Issued in FL
Practice address
102 S Peninsula Dr
Unit 208
Daytona Beach, FL 32118-4478
Phone
(386) 589-7332
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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 OT0720 FL Primary

Addresses

Primary practice location

102 S Peninsula Dr
Unit 208
Daytona Beach, FL 32118-4478

Mailing address

102 S Peninsula Dr
Unit 208
Daytona Beach, FL 32118-4478
Phone (386) 589-7332

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
OT0720FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1679800916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S PENINSULA DR",
            "address_2": "UNIT 208",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184478",
            "telephone_number": "386-589-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S PENINSULA DR",
            "address_2": "UNIT 208",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184478",
            "telephone_number": "386-589-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "LORELL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT0720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.