Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHASTA VICTORIA GRIMES CASTRO-PENULLAR, BSPT

Active Sole Proprietor

MRS. SHASTA VICTORIA GRIMES CASTRO-PENULLAR, BSPT is a Physical Therapy Assistant healthcare provider located in JERSEY CITY, New Jersey. NPI 1699819730 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JERSEY CITY, NJ

Registration Details

NPI Number: 1699819730
Provider Type: Individual
Gender: Female
NPI Issued: Feb 19, 2007 (19.479604904656 yrs)
Last Updated: Dec 10, 2007
Sole Proprietor: Yes

Practice Information

Address: 242 10TH ST

JERSEY CITY, NJ, 073021406
Browse NJ providers · Browse ZIP 07302
Phone: 2017952499
Fax: 2017953579
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in JERSEY CITY, NJ

Name	Credential	NPI
MR. CARL A. GARGIULO	PT, DPT, OCS	1013961523
ANDRZEJ SLUGOCKI	PT, DPT	1639123144
MS. SUSAN SCHNEIDER	MS, PT	1972540904
ADONIS ABRIL M. QUIAMBAO	—	1689610859
MS. MARASOL P LOFRANCO	—	1649206491
MR. JOHN SABULIS	P.T	1770591240

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.