Concierge Physical Therapy of Celebration, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CONCIERGE PHYSICAL THERAPY OF CELEBRATION, PLLC

Practice address

1015 Nash Dr
Celebration, FL 34747-4310

Phone

(630) 319-8501

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Peters, PTNPI 1487984456

Title

Owner

Phone

(630) 319-8501

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Peters, PT

  • Physical Therapist
  • Winter Garden, FL
  • NPI 1487984456
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1336834704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NASH DR",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474310",
            "telephone_number": "630-319-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NASH DR",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474310",
            "telephone_number": "630-319-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PHYSICAL THERAPY OF CELEBRATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-319-8501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Celebration, FL
• Providers in Celebration, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.