Active NPI
Celeste Marty
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1003577024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT16347
- Practice address
- 5767 Mission St
San Francisco, CA 94112-4208 - Phone
- (415) 584-3294
- NPI assigned
- Jan 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT16347 | CA | Primary |
Addresses
Primary practice location
5767 Mission St
San Francisco, CA 94112-4208
Mailing address
1273 28TH Ave
San Francisco, CA 94122-1510
Phone (415) 729-1023
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT16347 | CA | MD | Occupational Therapist |
| 16347 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641081600000",
"number": "1003577024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1273 28TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221510",
"telephone_number": "415-729-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5767 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941124208",
"telephone_number": "415-584-3294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTY",
"first_name": "CELESTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-02",
"last_updated": "2022-01-02",
"certification_date": "2022-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT16347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.