Active NPI
Celina Raquel Gastellum, P.T.A.
- Physical Therapy Assistant
- Tucson, AZ
National Provider Identifier
1396997102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 7974A
- Practice address
- 6970 N Oracle Rd Ste 130
Tucson, AZ 85704-4237 - Phone
- (520) 219-5825
- Fax
- (520) 219-5827
- NPI assigned
- Oct 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7974A | AZ | Primary |
Addresses
Primary practice location
6970 N Oracle Rd Ste 130
Tucson, AZ 85704-4237
Mailing address
4564 W Annabelle St
Tucson, AZ 85741-1835
Phone (520) 744-1995
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7974A | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223856000000",
"number": "1396997102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4564 W ANNABELLE ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857411835",
"telephone_number": "520-744-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6970 N ORACLE RD STE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857044237",
"telephone_number": "520-219-5825",
"fax_number": "520-219-5827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTELLUM",
"first_name": "CELINA",
"middle_name": "RAQUEL",
"name_prefix": "Ms.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "7974A",
"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 Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.