Individual provider Active NPI

Kristen Nicole Ceglia, DPT, PT

  • Physical Therapist
  • Hollister, CA
National Provider Identifier
1265002729
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300359 Issued in CA
Practice address
101 McCray St Ste 108
Hollister, CA 95023-4159
Phone
(831) 638-4860
Fax
(831) 638-4864
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300359 CA Primary

Addresses

Primary practice location

101 McCray St Ste 108
Hollister, CA 95023-4159

Mailing address

101 McCray St Ste 108
Hollister, CA 95023-4159
Phone (831) 638-4860

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
300359CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1265002729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MCCRAY ST STE 108",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234159",
            "telephone_number": "831-638-4860",
            "fax_number": "831-638-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MCCRAY ST STE 108",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234159",
            "telephone_number": "831-638-4860",
            "fax_number": "831-638-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEGLIA",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.