Active NPI
Anthony Celenza
- Physical Therapist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 40QA01979600 | NJ | |
| Physical Therapist | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT36890 | FL | MD | Physical Therapist |
| 40QA01979600 | NJ | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchase Physical Therapy and Medical Supply LLC | Single Specialty | Current | Accepting new patients |
| Westchase Physical Therapy and Medical Supply LLC | Physical Therapist | Current | Accepting new patients |
| Baylife Physical Therapy & Rehabilitation Inc | Single Specialty | Current | Accepting new patients |
| Baylife Physical Therapy & Rehabilitation, Inc. | Past | 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.
-
- Physical Therapist
- St Petersburg, FL
- NPI 1760401434
Single Specialty
-
- Physical Therapist
- Tampa, FL
- NPI 1114083946
Single Specialty
-
- Physical Therapist
- Palm Harbor, FL
- NPI 1275392623
-
- Specialist
- Seminole, FL
- NPI 1356747315
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.