Individual provider Active NPI

Celeste Rachel Blankenship, MS, PT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1023649894
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P8158 Issued in NC
Practice address
111 James Jackson Ave Ste 101
Cary, NC 27513-3598
Phone
(919) 651-0050
Fax
(919) 651-0048
NPI assigned
Jan 30, 2020
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22633 CA
Physical Therapist 225100000X P8158 NC Primary

Addresses

Primary practice location

111 James Jackson Ave Ste 101
Cary, NC 27513-3598

Mailing address

964 High House Rd # 3141
Cary, NC 27513-3574
Phone (760) 766-5655

Other practice location 1

964 High House Rd # 3141
Cary, NC 27513-3574
Phone (760) 766-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210616001652 CA Practitioner - Physical Therapist in Private Practice 2769882570 Reassigns benefits to 1 organization
I20210806001367 NC Practitioner - Physical Therapist in Private Practice 2769882570 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
HH1Group PAC ID 1759750409, 4 clinicians

Practice addresses (Care Compare)

105 Convention Dr
Cary, NC 27511-4595
Phone (919) 234-0440

111 James Jackson Ave
Suite 101
Cary, NC 27513-3598
Phone (919) 651-0050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P8158NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
HH1 Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince May 10, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Mobile Rehab L.L.C. Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince May 10, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171

15004 Innovation Dr
San Diego, CA 92128
Phone (858) 487-1800

111 James Jackson Ave
Ste 101
Cary, NC 27513
Phone (919) 651-0050

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1023649894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 HIGH HOUSE RD # 3141",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133574",
            "telephone_number": "760-766-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JAMES JACKSON AVE STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133598",
            "telephone_number": "919-651-0050",
            "fax_number": "919-651-0048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "964 High House Rd # 3141",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275133574",
            "country_code": "US",
            "telephone_number": "760-766-5655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "CELESTE",
        "middle_name": "RACHEL",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22633",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P8158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.