Celeste Annette Willmann-Chafin, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA02051 Issued in OH

Practice address

1640 West Redstone Center
Suite 200 Supplemental Health Care
Park City, UT 84098

Phone

(513) 791-5786

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Celeste Annette Willmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467570911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 E QUAIL RUN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559274",
            "telephone_number": "740-366-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 WEST REDSTONE CENTER",
            "address_2": "SUITE 200 SUPPLEMENTAL HEALTH CARE",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84098",
            "telephone_number": "513-791-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMANN-CHAFIN",
        "first_name": "CELESTE",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA02051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "WILLMANN",
            "middle_name": "ANNETTE",
            "prefix": "MISS",
            "credential": "LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas J Williams, ATC
• Nicholas R Williams, OT
• Perry Williams, DPT
• Shabrittany Williams, LPTA
• Stuart Eliot Willick, MD
• Dodiann R Wilson, LPC
• Jill Mallory Fadal Wilson, M.D.
• Katherine Wilson
• Michelle Hill Wilson, MD
• Patricia K Winkelman, D.C.

• Physical Therapy Assistant in Park City, UT
• Providers in Park City, UT by specialty
• Physical Therapy Assistant in Utah

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.