Active NPI
Celia Faye Yentzen, OTR
- Specialist
- Austin, TX
National Provider Identifier
1245469675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 109229
- Practice address
- 4544 S Lamar Blvd
Ste 750
Austin, TX 78745-1500 - Phone
- (512) 892-7900
- Fax
- (512) 280-9298
- NPI assigned
- Jul 7, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 109229 | TX | Primary |
Addresses
Primary practice location
4544 S Lamar Blvd
Ste 750
Austin, TX 78745-1500
Mailing address
100 N Tumbleweed TRL
Austin, TX 78733-3221
Phone (512) 892-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109229 | Other | TX | TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Joint Physical Therapy PLLC | Past | Accepting new patients | |
| Brad E Logan | 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
- Austin, TX
- NPI 1669795704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1245469675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N TUMBLEWEED TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787333221",
"telephone_number": "512-892-7900",
"fax_number": "512-280-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4544 S LAMAR BLVD",
"address_2": "STE 750",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451500",
"telephone_number": "512-892-7900",
"fax_number": "512-280-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YENTZEN",
"first_name": "CELIA",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "109229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
"identifier": "109229",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.