Active NPI
Jessica Castor, DPT
- Pediatric Physical Therapist
- Fairport, NY
National Provider Identifier
1730650540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- 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
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 |
|---|---|---|---|---|
| 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
- Nancy G. Carr, RPT
- Shannon Jean Carr, MS, CAS, NCSP, BCBA,
- Benjamin A. Caruso, D.C.
- Casira Mental Health Counseling PLLC
- Linda Casira, LMHC
- Catherine a. Miller, M.D., P.C. (Perinton Dermatology)
- Stephanie Janet Catlin-Rakoski, LMHC
- Debra L Cecere, MS
- Center for Autism & Related Disorders, Inc (Card, Inc.)
- Center for Autism and Related Disorders
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.