Individual provider Active NPI

Clarissa Celestino

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1346579604
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT32050 Issued in AZ
Practice address
2100 N Wilmot Rd Ste 201
Tucson, AZ 85712-3075
Phone
(801) 942-3311
Fax
(801) 942-5955
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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 LPT32050 AZ Primary

Addresses

Primary practice location

2100 N Wilmot Rd Ste 201
Tucson, AZ 85712-3075

Mailing address

7307 S Via Tierra Mesa
Tucson, AZ 85756-0016
Phone (323) 572-6468

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
LPT32050AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
C3 Physical Therapy LLC Physical Therapist CurrentSince May 26, 2024 Accepting new patients
BHSM Rehabilitation, LLC Physical Therapy Past Accepting new patients
BHSM Rehabilitation, LLC Physical Therapy Past Accepting new patients

Locations

2100 N Wilmot Rd
Ste 201
Tucson, AZ 85712
Phone (520) 800-9828

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1346579604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 S VIA TIERRA MESA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857560016",
            "telephone_number": "323-572-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N WILMOT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123075",
            "telephone_number": "801-942-3311",
            "fax_number": "801-942-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTINO",
        "first_name": "CLARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT32050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.