Individual provider Active NPI

Jessica Castor, DPT

  • Pediatric Physical Therapist
  • Fairport, NY
National Provider Identifier
1730650540
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Practice address
449 Garnsey Rd
Fairport, NY 14450-3909
Phone
(315) 651-6725
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X Primary

Addresses

Primary practice location

449 Garnsey Rd
Fairport, NY 14450-3909

Mailing address

449 Garnsey Rd
Fairport, NY 14450-3909
Phone (315) 651-6725

Other practice location 1

6200 Ontario Center Road
Ontarior, NY 14519
Phone (315) 524-1000

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

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1730650540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 GARNSEY RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503909",
            "telephone_number": "315-651-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 GARNSEY RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503909",
            "telephone_number": "315-651-6725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Ontario Center Road",
            "address_purpose": "LOCATION",
            "city": "Ontarior",
            "state": "NY",
            "postal_code": "14519",
            "country_code": "US",
            "telephone_number": "315-524-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTOR",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

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