Charlie J Celadina II, PT
Individual provider Active NPI Physical Therapist · Plymouth, IN
NPI 1134050453 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1134050453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05008279A (IN)
- Practice address
- 635 Oakhill Ave
Plymouth, IN 46563-3064 - Phone
- (574) 936-9981
- Fax
- (574) 936-9307
- NPI assigned
- May 26, 2026
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260623000763 | IN | Practitioner - Physical Therapist in Private Practice | 3375016264 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008279A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008279A | IN | Yes |
Addresses
Primary practice location
635 Oakhill Ave
Plymouth, IN 46563-3064
Mailing address
11384 Crocus CT
Plymouth, IN 46563-7665
Other providers in Plymouth, IN
- Dawn Campbell
- Cardinal Center, Inc.
- Geri Carlson
- Carmien & Pedavoli Family Dentistry, LLC
- Matthew Steven Carmien
- Central Indiana Orthopedics, LLC
- Cep America - Anesthesia PC
- Cep America LLC
- Sarah Chambers
- Christopher A Chesnut
All providers in Plymouth, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.