Individual provider Active NPI

Alexis Castano

  • Occupational Therapy Assistant
  • Bronx, NY
National Provider Identifier
1891295903
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
009344 Issued in NY
Practice address
1250 E 229TH St
Bronx, NY 10466-5851
Phone
(718) 405-7060
NPI assigned
Feb 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 009344 NY Primary

Addresses

Primary practice location

1250 E 229TH St
Bronx, NY 10466-5851

Mailing address

6145 98TH St Apt 2J
Rego Park, NY 11374-1427
Phone (347) 724-0953

Other identifiers 1

IdentifierTypeStateIssuer
16030122200MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
009344NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Past Accepting new patients
Sco Family of Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1891295903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 98TH ST APT 2J",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741427",
            "telephone_number": "347-724-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 229TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665851",
            "telephone_number": "718-405-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANO",
        "first_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16030122200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.