Active NPI
Rachel Joy Centeno
- Physical Therapist
- Hollister, CA
National Provider Identifier
1417824749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 306718
- Practice address
- 961A Sunset Dr
Hollister, CA 95023-5602 - Phone
- (831) 635-1135
- NPI assigned
- Oct 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 306718 | CA | Primary |
Addresses
Primary practice location
961A Sunset Dr
Hollister, CA 95023-5602
Mailing address
4555 Thornton Ave Apt 52
Fremont, CA 94536-5646
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 |
|---|---|---|---|
| 306718 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1417824749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 THORNTON AVE APT 52",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961A SUNSET DR",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235602",
"telephone_number": "831-635-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTENO",
"first_name": "RACHEL",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "306718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollister, CA
- Erika Jazmin Ceballos Cabrera, MD
- John Leonard Ceglia, PT
- Kristen Nicole Ceglia, DPT, PT
- Imelda Ceja
- Santina Ceja
- Central Coast Allergy & Asthma, a Medical Corporation
- Central Coast Head & Neck Surgeons a M C Inc
- Central Coast MD Medical Supplies and Uniforms
- Lorena Cervantes, OTR/L
- Chamberlain'S Youth Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.