Individual provider Active NPI

Anthony Celenza

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1043814536
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36890 Issued in FL
Practice address
8950 Dr Martin Luther King Jr St N Ste 101
St Petersburg, FL 33702-3001
Phone
(727) 520-0800
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 40QA01979600 NJ
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT36890 FL Primary

Addresses

Primary practice location

8950 Dr Martin Luther King Jr St N Ste 101
St Petersburg, FL 33702-3001

Mailing address

39 Grant Ave
Mount Ephraim, NJ 08059-1523

Other practice location 1

39 Grant Ave
Mount Ephraim, NJ 08059-1523
Phone (609) 706-7850

Other practice location 2

39 Grant Ave
Mount Ephraim, NJ 08059-1523
Phone (609) 706-7850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210806001252 FL Practitioner - Physical Therapist in Private Practice 1254743073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylife Physical Therapy and Rehabilitation IncGroup PAC ID 9133170095, 17 clinicians

Practice addresses (Care Compare)

8950 Dr M L King Jr St N
Suite 101
St Petersburg, FL 33702
Phone (727) 520-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36890FLMDPhysical Therapist
40QA01979600NJMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westchase Physical Therapy and Medical Supply LLC Single Specialty CurrentSince Jun 28, 2021 Accepting new patients
Westchase Physical Therapy and Medical Supply LLC Physical Therapist CurrentSince Jun 28, 2021 Accepting new patients
Baylife Physical Therapy & Rehabilitation Inc Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Baylife Physical Therapy & Rehabilitation, Inc. PastSince Aug 1, 2022 Accepting new patients

Locations

8950 Dr Ml King Jr St N
Ste 101
St Petersburg, FL 33702
Phone (727) 520-0800

12705 Race Track Rd
Westchase, FL 33626
Phone (813) 343-3960

470 Johnson Rd
Ste 100
Washington, PA 15301

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1043814536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GRANT AVE",
            "city": "MOUNT EPHRAIM",
            "state": "NJ",
            "postal_code": "080591523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING JR ST N STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023001",
            "telephone_number": "727-520-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Ephraim",
            "state": "NJ",
            "postal_code": "080591523",
            "country_code": "US",
            "telephone_number": "609-706-7850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Ephraim",
            "state": "NJ",
            "postal_code": "080591523",
            "country_code": "US",
            "telephone_number": "609-706-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELENZA",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA01979600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.