Individual provider Active NPI

Heather Doreen-Scott Celkis, BS

  • Occupational Therapist
  • Georgetown, TX
National Provider Identifier
1104006220
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
112447 Issued in TX
Practice address
1910 Leander Rd
Suite 102
Georgetown, TX 78628-8835
Phone
(512) 930-5439
Fax
(512) 930-5431
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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 112447 TX Primary

Addresses

Primary practice location

1910 Leander Rd
Suite 102
Georgetown, TX 78628-8835

Mailing address

1910 Leander Rd
Suite 102
Georgetown, TX 78628-8835
Phone (512) 930-5439

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)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
112447TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1104006220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 LEANDER RD",
            "address_2": "SUITE 102",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288835",
            "telephone_number": "512-930-5439",
            "fax_number": "512-930-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 LEANDER RD",
            "address_2": "SUITE 102",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288835",
            "telephone_number": "512-930-5439",
            "fax_number": "512-930-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELKIS",
        "first_name": "HEATHER",
        "middle_name": "DOREEN-SCOTT",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.