Active NPI
Celeste Sorrentino
- Orthopedic Physical Therapist
- Port Charlotte, FL
National Provider Identifier
1083767958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT4772
- Practice address
- 17751 Murdock Cir
Port Charlotte, FL 33948-1034 - Phone
- (941) 743-8700
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT4772 | FL | Primary |
Addresses
Primary practice location
17751 Murdock Cir
Port Charlotte, FL 33948-1034
Mailing address
17751 Murdock Cir
Port Charlotte, FL 33948-1034
Phone (941) 743-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y911K | Other | FL | BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy Service Inc. | Orthopedic | Past | Accepting new patients |
| Kamipractics, Inc. | Orthopedic | Past | Accepting new patients |
| Therapeuticfx, LLC | Orthopedic | Past | Accepting new patients |
| Fyzbiz, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FYZICAL Therapy and Balance Centers
- Rehabilitation Clinic/Center
- Fort Myers, FL
- NPI 1700248887
-
- Orthopedic Physical Therapist
- Port Charlotte, FL
- NPI 1043261233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083767958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17751 MURDOCK CIR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481034",
"telephone_number": "941-743-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17751 MURDOCK CIR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481034",
"telephone_number": "941-743-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRENTINO",
"first_name": "CELESTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT4772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y911K",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.