Active NPI
Emmanuelle M Celicout, LMT
- Massage Therapist
- Philadelphia, PA
National Provider Identifier
1447736343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG009245
- Practice address
- 1910 Green St
Philadelphia, PA 19130-3207 - Phone
- (215) 687-7997
- NPI assigned
- Jul 13, 2018
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG009245 | PA | Primary |
Addresses
Primary practice location
1910 Green St
Philadelphia, PA 19130-3207
Mailing address
1910 Green St
Philadelphia, PA 19130-3207
Phone (215) 687-7997
Other practice location 1
826 Bustleton Pike Ste 109
Feasterville Trevose, PA 19053-6002
Phone (215) 364-0100
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 |
|---|---|---|---|
| MSG009245 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functionfirst | Past | Accepting new patients | |
| Healing Touch PT | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Feasterville Trevose, PA
- NPI 1780107979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1447736343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 GREEN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191303207",
"telephone_number": "215-687-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 GREEN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191303207",
"telephone_number": "215-687-7997"
}
],
"practiceLocations": [
{
"address_1": "826 Bustleton Pike Ste 109",
"address_purpose": "LOCATION",
"city": "Feasterville Trevose",
"state": "PA",
"postal_code": "190536002",
"country_code": "US",
"telephone_number": "215-364-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CELICOUT",
"first_name": "EMMANUELLE",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG009245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.