Individual provider Active NPI

Celia M Terhaar

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1265547905
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
590 Issued in AK
Practice address
1700 E Bogard Rd BLDG B
Suite 203
Wasilla, AK 99654-6563
Phone
(907) 376-4325
NPI assigned
Aug 21, 2006
Last updated
Oct 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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 590 AK Primary

Addresses

Primary practice location

1700 E Bogard Rd BLDG B
Suite 203
Wasilla, AK 99654-6563

Mailing address

1700 E Bogard Rd BLDG B
Suite 203
Wasilla, AK 99654-6563
Phone (907) 376-4325

Other identifiers 1

IdentifierTypeStateIssuer
PT9635MedicaidAK

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

State licenses

LicenseStateTypeSpecialty
590AKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Body in Balance Physical Therapy Inc PastSince Sep 1, 2004 Accepting new patients
Excel Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1265547905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD BLDG B",
            "address_2": "SUITE 203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-376-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD BLDG B",
            "address_2": "SUITE 203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-376-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERHAAR",
        "first_name": "CELIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT9635",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.