Individual provider Active NPI

Melissa Celio

  • Occupational Therapist
  • Ravena, NY
National Provider Identifier
1174283741
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025786 Issued in NY
Practice address
Circle of Friends
14379 Route 9W
Ravena, NY 12143
Phone
(518) 756-3124
Fax
(518) 756-9476
NPI assigned
Dec 23, 2021
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 025786 NY Primary

Addresses

Primary practice location

Circle of Friends
14379 Route 9W
Ravena, NY 12143

Mailing address

609 N Broadway
Malta, NY 12020-5205
Phone (845) 240-4257

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

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1174283741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N BROADWAY",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120205205",
            "telephone_number": "845-240-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CIRCLE OF FRIENDS",
            "address_2": "14379 ROUTE 9W",
            "city": "RAVENA",
            "state": "NY",
            "postal_code": "12143",
            "telephone_number": "518-756-3124",
            "fax_number": "518-756-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELIO",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravena, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.