Individual provider Active NPI

Natalie C Mack, LPTA

  • Physical Therapy Assistant
  • North Richland Hills, TX
National Provider Identifier
1144499161
Registry record updated Feb 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2053587 Issued in TX
Practice address
6508 Sherri LN
North Richland Hills, TX 76180-4126
Phone
(817) 929-0480
NPI assigned
Feb 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2053587 TX Primary

Addresses

Primary practice location

6508 Sherri LN
North Richland Hills, TX 76180-4126

Mailing address

6508 Sherri LN
North Richland Hills, TX 76180-4126
Phone (817) 929-0480

Other names 1

  • Mrs. Natalie Cellerini Other 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2053587TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1203811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203811200000",
    "number": "1144499161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 SHERRI LN",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761804126",
            "telephone_number": "817-929-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 SHERRI LN",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761804126",
            "telephone_number": "817-929-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "NATALIE",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-24",
        "last_updated": "2008-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2053587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "CELLERINI",
            "prefix": "MRS.",
            "credential": "LPTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; 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.