Individual provider Active NPI

Celena Degloma, MS LMT CD CLC CCCE

  • Mechanotherapist
  • Brooklyn, NY
National Provider Identifier
1316256910
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
021538 Issued in NY
Practice address
405 5TH Ave FL 2
Brooklyn, NY 11215-3315
Phone
(347) 699-8751
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X
Lactation Consultant (Non-RN) 174N00000X 43673 NY
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 021538-01 NY
Doula 374J00000X
Mechanotherapist 172M00000X 021538 NY Primary

Addresses

Primary practice location

405 5TH Ave FL 2
Brooklyn, NY 11215-3315

Mailing address

405 5TH Ave FL 2
Brooklyn, NY 11215-3315
Phone (347) 699-8751

Other names 1

  • Lena Degloma Professional 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021538NYMDPsychologist
43673NYMDDentist
021538-01NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1316256910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 5TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153315",
            "telephone_number": "347-699-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 5TH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153315",
            "telephone_number": "347-699-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGLOMA",
        "first_name": "CELENA",
        "credential": "MS LMT CD CLC CCCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "43673",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "021538-01",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NY",
            "license": "021538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENA",
            "last_name": "DEGLOMA",
            "credential": "MS LMT CD CLC CCCE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.