Marjorie Lorraine Castro – Developmental Therapist

Key facts

NPI: 1962011916
Entity type: Individual (NPI type 1)
Primary specialty: Developmental Therapist 222Q00000X
Practice address: 3325 N University Dr
Coral Springs, FL 33065-4162
Phone: (954) 344-6550
NPI assigned: Jul 27, 2020
Sex: Female
Sole proprietor: No

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.

Foundations Therapy, Inc. Hearing and Speech Clinic/Center · Coral Springs, FL · NPI 1013660083

NPD
Foundations Therapy, Inc. Early Intervention Provider Agency · Coral Springs, FL · NPI 1639219389

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Foundations Therapy, Inc.		Current since Feb 6, 2022	Accepting new patients
Foundations Therapy, Inc.		Past since Aug 2, 2020	Accepting new patients

Locations

3325 N University Dr
Coral Springs, FL 33065

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X
Developmental Therapist	222Q00000X			Yes

Addresses

Primary practice location

3325 N University Dr
Coral Springs, FL 33065-4162

Mailing address

3325 N University Dr
Coral Springs, FL 33065-4162
Phone (954) 344-6550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 27, 2020.

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1962011916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654162",
            "telephone_number": "954-344-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654162",
            "telephone_number": "954-344-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MARJORIE",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

All providers in Coral Springs, FL · Developmental Therapist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.