Individual provider Active NPI

Erik John Celesnik, MS, OTRL

  • Occupational Therapist
  • Novi, MI
National Provider Identifier
1457704066
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004223 Issued in MI
Practice address
41215 Fox Run
Novi, MI 48377-4803
Phone
(248) 668-8730
NPI assigned
Jul 19, 2016
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201004223 MI Primary

Addresses

Primary practice location

41215 Fox Run
Novi, MI 48377-4803

Mailing address

41215 Fox Run
Novi, MI 48377-4803
Phone (248) 668-8730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240210000517 MI Practitioner - Occupational Therapist in Private Practice 1850734427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Therapy LLCGroup PAC ID 5890122816, 109 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Brighton, MI 48116
Phone (740) 953-1184

568 N Pine Rd
Bay City, MI 48708-9190
Phone (989) 778-1127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jan 29, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jan 29, 2024 Accepting new patients
Fox Run Village, Inc. Past Accepting new patients

Locations

568 N Pine Rd
Bay City, MI 48708
Phone (989) 714-5007

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1457704066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41215 FOX RUN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774803",
            "telephone_number": "248-668-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41215 FOX RUN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774803",
            "telephone_number": "248-668-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESNIK",
        "first_name": "ERIK",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MS, OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.