Active NPI
Charlie J Celadina II, PT
- Physical Therapist
- Plymouth, IN
National Provider Identifier
1134050453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008279A
- Practice address
- 635 Oakhill Ave
Plymouth, IN 46563-3064 - Phone
- (574) 936-9981
- Fax
- (574) 936-9307
- NPI assigned
- May 26, 2026
- Last updated
- May 26, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008279A | IN | Primary |
Addresses
Primary practice location
635 Oakhill Ave
Plymouth, IN 46563-3064
Mailing address
11384 Crocus CT
Plymouth, IN 46563-7665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
644 E 9TH St
Indianapolis, IN 46202-3463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008279A | IN | MD | Physical Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1134050453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11384 CROCUS CT",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465637665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 OAKHILL AVE",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465633064",
"telephone_number": "574-936-9981",
"fax_number": "574-936-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELADINA",
"first_name": "CHARLIE",
"middle_name": "J",
"name_suffix": "II",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008279A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, IN
- Manuel Johannes Cardenas Rivera, FNP-C
- Cardinal Center, Inc.
- Geri Carlson, M.A., M.MIN.
- Carmien & Pedavoli Family Dentistry, LLC
- Matthew Steven Carmien, D.D.S.
- Central Indiana Orthopedics, LLC (OrthoAlliance of Indiana)
- Cep America - Anesthesia PC
- Cep America LLC
- Sarah Chambers
- Christopher A Chesnut, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.