Active NPI
Haziel Elio Castillo, OT
- Occupational Therapist
- Tampa, FL
National Provider Identifier
1679875702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21732
- Practice address
- 4508 Jamaica Street
Tampa, FL 33614 - Phone
- (813) 447-0479
- NPI assigned
- Nov 22, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 21732 | FL | Primary |
Addresses
Primary practice location
4508 Jamaica Street
Tampa, FL 33614
Mailing address
4508 Jamaica Street
Tampa, FL 33614
Phone (813) 965-6121
Other practice location 1
3249 w cypress street suite c
Tampa, FL 33607
Phone (813) 965-6121
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 |
|---|---|---|---|
| 21732 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1679875702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 JAMAICA STREET",
"city": "TAMPA",
"state": "FL",
"postal_code": "33614",
"telephone_number": "813-965-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4508 JAMAICA STREET",
"city": "TAMPA",
"state": "FL",
"postal_code": "33614",
"telephone_number": "813-447-0479"
}
],
"practiceLocations": [
{
"address_1": "3249 w cypress street suite c",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "33607",
"country_code": "US",
"telephone_number": "813-965-6121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "HAZIEL",
"middle_name": "ELIO",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-22",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "21732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.