Organization Active NPI

Gydl Enterprise

  • Developmental Therapist
  • Port Charlotte, FL
National Provider Identifier
1730938523
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
GYDL ENTERPRISE
Practice address
483 Hallcrest Terrace
Port Charlotte, FL 33954-3736
Phone
(207) 705-2282
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Mrs. Gladys Castillo-HernandezNPI 1477061562
Title
Owner
Phone
(201) 705-2282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

483 Hallcrest Terrace
Port Charlotte, FL 33954-3736

Mailing address

483 Hallcrest Terrace
Port Charlotte, FL 33954-3736
Phone (207) 705-2282

Other identifiers 1

IdentifierTypeStateIssuer
023574700MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1730938523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 HALLCREST TERRACE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339543736",
            "telephone_number": "207-705-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 HALLCREST TERRACE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339543736",
            "telephone_number": "207-705-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYDL ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-10-30",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "CASTILLO-HERNANDEZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-705-2282",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023574700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.