Active NPI
Therese Castro, OTD, OTR/L
- Pediatric Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1821868969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT-3364
- Practice address
- 1225 Triumph CT
Las Vegas, NV 89117-7122 - Phone
- (702) 350-2652
- NPI assigned
- Jan 8, 2024
- Last updated
- Dec 12, 2024
- 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 Occupational Therapist | 225XP0200X | OT-3364 | NV | Primary |
Addresses
Primary practice location
1225 Triumph CT
Las Vegas, NV 89117-7122
Mailing address
1225 Triumph CT
Las Vegas, NV 89117-7122
Phone (702) 350-2652
Other practice location 1
9260 W Sunset Rd Ste 204
Las Vegas, NV 89148-4903
Phone (877) 757-8353
Other names 1
- Therese Fernandez
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 |
|---|---|---|---|
| OT-3364 | NV | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1821868969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 TRIUMPH CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177122",
"telephone_number": "702-350-2652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 TRIUMPH CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177122",
"telephone_number": "702-350-2652"
}
],
"practiceLocations": [
{
"address_1": "9260 W Sunset Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891484903",
"country_code": "US",
"telephone_number": "877-757-8353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTRO",
"first_name": "THERESE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NV",
"license": "OT-3364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESE",
"last_name": "FERNANDEZ",
"credential": "OTD, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.