Active NPI
John R Celestino, PT, GCS. MTC. CSCS
- Physical Therapist
- Spokane Valley, WA
National Provider Identifier
1164528733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2535
- Practice address
- 2521 S Steen Rd
Spokane Valley, WA 99016-8775 - Phone
- (509) 922-8081
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PT2535 | WA | Primary |
Addresses
Primary practice location
2521 S Steen Rd
Spokane Valley, WA 99016-8775
Mailing address
2521 S Steen Rd
Spokane Valley, WA 99016-8775
Phone (509) 922-8081
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE6440 | Other | WA | ASURIS HEALTH PLANS |
| 22823 | Other | WA | DEPT OF L&I |
| 8335093 | Medicaid | WA | |
| CE6440 | Other | WA | UNITED NW SERVICES |
| 5524696 | Other | WA | AETNA INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050621001146 | WA | Practitioner - Physical Therapist in Private Practice | 3072558949 | Practice locations: Spokane Valley, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2521 S Steen Rd
Spokane Valley, WA 99016-8775
Phone (509) 922-8081
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2535 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
| Whitworth Physical Therapy, PS | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Spokane Valley, WA
- NPI 1265585335
-
- Physical Therapist
- Spokane, WA
- NPI 1972557189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1164528733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 S STEEN RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990168775",
"telephone_number": "509-922-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 S STEEN RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990168775",
"telephone_number": "509-922-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELESTINO",
"first_name": "JOHN",
"middle_name": "R",
"credential": "PT, GCS. MTC. CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT2535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS HEALTH PLANS",
"identifier": "CE6440",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "22823",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8335093",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED NW SERVICES",
"identifier": "CE6440",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "5524696",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
- Michaelyn M Casto
- Cynthia Marie Cecil, C.B.D., P.S.
- Cedarcrest Behavioral Medicine LLC
- Hope Cedeno, BSN, RN
- Hilda Celestino
- Centennial Sports & Physical Therapy LLC
- Centerwell Certified Healthcare Corp.
- Centerwell Certified Healthcare Corp.
- Central Valley School District
- Central Valley School District#356
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.