Individual provider Active NPI

Celeste Rodriguez Bartelt, PT

  • Physical Therapist
  • Altoona, IA
National Provider Identifier
1134414063
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11875 Issued in WI
Practice address
3770 8TH St SW
Suite a
Altoona, IA 50009-1048
Phone
(515) 967-5025
Fax
(515) 967-2360
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11875 WI Primary

Addresses

Primary practice location

3770 8TH St SW
Suite a
Altoona, IA 50009-1048

Mailing address

3770 8TH St SW
Suite a
Altoona, IA 50009-1048
Phone (515) 967-5025

Other identifiers 1

IdentifierTypeStateIssuer
1134414063MedicaidWI

Other names 1

  • Celeste Rodriguez Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11875WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1134414063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 8TH ST SW",
            "address_2": "SUITE A",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091048",
            "telephone_number": "515-967-5025",
            "fax_number": "515-967-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 8TH ST SW",
            "address_2": "SUITE A",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091048",
            "telephone_number": "515-967-5025",
            "fax_number": "515-967-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BARTELT",
        "first_name": "CELESTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134414063",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "RODRIGUEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.