Individual provider Active NPI

Celine Loiselle, OTR/L

  • Occupational Therapist
  • Navarre, FL
National Provider Identifier
1093399461
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19944 Issued in FL
Practice address
1762 Sea Lark LN
Navarre, FL 32566-7406
Phone
(850) 204-8030
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT19944 FL Primary

Addresses

Primary practice location

1762 Sea Lark LN
Navarre, FL 32566-7406

Mailing address

1507 E Moreno St
Pensacola, FL 32503-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241211001345 NH Practitioner - Occupational Therapist in Private Practice 0244766400 Reassigns benefits to 1 organization
I20241211001635 MA Practitioner - Occupational Therapist in Private Practice 0244766400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Akincilar and Prendergast IncGroup PAC ID 9739538869, 3 clinicians

Practice addresses (Care Compare)

32 Daniel Webster Hwy
Suite 16
Merrimack, NH 03054-4860
Phone (603) 589-9184

33 Bedford St
Suite 3
Lexington, MA 02420-4401
Phone (781) 862-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT19944FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr CurrentSince Dec 1, 2024 Accepting new patients
Akincilar and Prendergast, Inc CurrentSince Dec 1, 2024 Accepting new patients
Full Circle Therapies, LLC PastSince May 16, 2021 Accepting new patients

Locations

33 Bedford St
Ste 3
Lexington, MA 02420
Phone (781) 862-5222

32 Daniel Webster Hwy
Ste 16
Merrimack, NH 03054
Phone (603) 589-9184

Organizations & group practices 3

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1093399461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 SEA LARK LN",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667406",
            "telephone_number": "850-204-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOISELLE",
        "first_name": "CELINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.