Active NPI
Celestine Compton, PT, DPT
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294955
- Practice address
- 11901 Santa Monica Blvd Ste 202
Los Angeles, CA 90025-2783 - Phone
- (310) 479-2323
- NPI assigned
- Aug 16, 2018
- Last updated
- Feb 21, 2019
- Sex
- Female
- 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 | 294955 | CA | Primary |
Addresses
Primary practice location
11901 Santa Monica Blvd Ste 202
Los Angeles, CA 90025-2783
Mailing address
7417 Fountain Ave
Los Angeles, CA 90046-5613
Phone (973) 768-9269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
12411 Hymeadow Dr
Austin, TX 78750-1874
Phone (213) 898-2673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Origin Physical Therapy Ca Inc | Physical Therapist | Current | Accepting new patients |
| Evolution Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
7188 Avenida Encinas
Ste 110
Carlsbad, CA 92011
11901 Santa Monica Blvd
Ste 202
Los Angeles, CA 90025
Phone (301) 341-4885
11980 San Vicente Blvd
Ste 100
Los Angeles, CA 90049
Phone (310) 241-4885
Organizations & group practices 3
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.
-
- Physical Therapist
- Austin, TX
- NPI 1477220861
-
- Physical Therapist
- Los Angeles, CA
- NPI 1982169595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1174003370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7417 FOUNTAIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900465613",
"telephone_number": "973-768-9269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 SANTA MONICA BLVD STE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252783",
"telephone_number": "310-479-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPTON",
"first_name": "CELESTINE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.