Individual provider Active NPI

Lester Anne Go Celebre, PT

  • Pediatric Physical Therapist
  • Staten Island, NY
National Provider Identifier
1275773962
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
024151 Issued in NY
Practice address
111 Kenmore St
Staten Island, NY 10312-1400
Phone
(917) 379-0334
Fax
(718) 966-2483
NPI assigned
Feb 20, 2009
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 024151 NY Primary

Addresses

Primary practice location

111 Kenmore St
Staten Island, NY 10312-1400

Mailing address

111 Kenmore St
Staten Island, NY 10312-1400
Phone (917) 379-0334

Other names 1

  • Ms. Lester Anne Go Lee Former name

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1275773962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KENMORE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121400",
            "telephone_number": "917-379-0334",
            "fax_number": "718-966-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KENMORE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121400",
            "telephone_number": "917-379-0334",
            "fax_number": "718-966-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELEBRE",
        "first_name": "LESTER ANNE",
        "middle_name": "GO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "024151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESTER ANNE",
            "last_name": "LEE",
            "middle_name": "GO",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.