Celeste Loveland O'Neill, KT, CWK

Primary specialty

KinesiotherapistTaxonomy code 226300000X

License

1119200

Practice address

2600 Mary Ellen St. NE
Albuquerque, NM 87112-1438

Phone

(505) 271-1010

Fax

(505) 271-1010

NPI assigned

Jan 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Celeste Loveland Tatum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1124359849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MARY ELLEN ST. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121438",
            "telephone_number": "505-271-1010",
            "fax_number": "505-271-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MARY ELLEN ST. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121438",
            "telephone_number": "505-271-1010",
            "fax_number": "505-271-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "CELESTE",
        "middle_name": "LOVELAND",
        "name_prefix": "Ms.",
        "credential": "KT, CWK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": null,
            "license": "11192000",
            "primary": false
        },
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": "11192000",
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": "1119200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "TATUM",
            "middle_name": "LOVELAND",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin O'Neal
• Siobhan O'Neall
• Chyenne O'Neil
• Melinda O'Neil, CANP
• Anne O'Neill
• Gloria O'Neill
• Madeleine O'Neill
• Shannon E O'Neill, LMHC
• Edward J O'Reilly, MD
• Beth O'Rourke, LISW

• Kinesiotherapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Kinesiotherapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.