Active NPI
Celeste Pedersen, PT
- Physical Therapist
- Stevens, PA
National Provider Identifier
1457367146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008657L
- Practice address
- 71 W Church St
Stevens, PA 17578-9203 - Phone
- (717) 336-5262
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- 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 Therapist | 225100000X | PT008657L | PA | Primary |
Addresses
Primary practice location
71 W Church St
Stevens, PA 17578-9203
Mailing address
583 Zion Rd
Birdsboro, PA 19508-8236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philo Physical Therapy Inc. | Current | Accepting new patients | |
| Berks Hand Therapy Center | Physical Therapist | Past | Accepting new patients |
Locations
102 S Pine St
Elverson, PA 19520
Phone (610) 286-9991
1435 Penn Ave
Wyomissing, PA 19610
Phone (610) 376-1902
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Morgantown, PA
- NPI 1053981753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457367146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 ZION RD",
"city": "BIRDSBORO",
"state": "PA",
"postal_code": "195088236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 W CHURCH ST",
"city": "STEVENS",
"state": "PA",
"postal_code": "175789203",
"telephone_number": "717-336-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "CELESTE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT008657L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stevens, PA
- Maybrook-P Denver Opco, LLC (The Gardens at Stevens)
- Allison Dawn McCracken, D.M.D.
- Jamie Monaco
- Northern Lancaster County Medical Group (Denver Family Practice)
- Veronica Patrick, BASW, COTA
- Physicians Dialysis of Lancaster LLC (PDI Ephrata)
- Karen Lee Pinchot, L.P.N.
- Reliant Denver Holdings LLC (Denver Health and Rehabilitation Center)
- Jessica Rogers, PT, DPT
- Zachary C. Rosario, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.