Celeste Pedersen, PT
Individual provider Active NPI Physical Therapist · Stevens, PA
NPI 1457367146 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457367146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT008657L (PA)
- Practice address
- 71 W Church St
Stevens, PA 17578-9203 - Phone
- (717) 336-5262
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220616003135 | PA | Practitioner - Physical Therapist in Private Practice | 0547649899 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008657L | PA | MD | Physical Therapist |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008657L | PA | Yes |
Addresses
Primary practice location
71 W Church St
Stevens, PA 17578-9203
Mailing address
583 Zion Rd
Birdsboro, PA 19508-8236
Other providers in Stevens, PA
- Maybrook-P Denver Opco, LLC
- Allison Dawn McCracken
- Jamie Monaco
- Northern Lancaster County Medical Group
- Veronica Patrick
- Physicians Dialysis of Lancaster LLC
- Karen Lee Pinchot
- Reliant Denver Holdings LLC
- Jessica Rogers
- Abigail Rutter
All providers in Stevens, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.