Individual provider Active NPI

Celedonia Ping-Ay Mehr, RPT

  • Physical Therapist
  • Fremont, CA
National Provider Identifier
1306994512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32127 Issued in CA
Practice address
863 Ridgeview Ter
Fremont, CA 94536-4269
Phone
(510) 896-8281
Fax
(510) 791-6068
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 PT32127 CA Primary

Addresses

Primary practice location

863 Ridgeview Ter
Fremont, CA 94536-4269

Mailing address

863 Ridgeview Ter
Fremont, CA 94536-4269
Phone (510) 896-8281

Other names 1

  • Ms. Celedonia Dimalaluan Ping-Ay 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

State licenses

LicenseStateTypeSpecialty
PT32127CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306994512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 RIDGEVIEW TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364269",
            "telephone_number": "510-896-8281",
            "fax_number": "510-791-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 RIDGEVIEW TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364269",
            "telephone_number": "510-896-8281",
            "fax_number": "510-791-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHR",
        "first_name": "CELEDONIA",
        "middle_name": "PING-AY",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELEDONIA",
            "last_name": "PING-AY",
            "middle_name": "DIMALALUAN",
            "prefix": "MS.",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.