Active NPI
Celecia Phillips, MOTR/L, COMS, CVRT
- Occupational Therapist
- Macon, GA
National Provider Identifier
1609042795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004672
- Practice address
- 3482 Lancing CT
Macon, GA 31217-6212 - Phone
- (478) 718-4254
- NPI assigned
- May 7, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orientation and Mobility Training Rehabilitation Counselor | 225CX0006X | 1253 | GA | |
| Occupational Therapist | 225X00000X | OT004672 | GA | Primary |
Addresses
Primary practice location
3482 Lancing CT
Macon, GA 31217-6212
Mailing address
3482 Lancing CT
Macon, GA 31217-6212
Phone (478) 718-4254
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 |
|---|---|---|---|
| 1253 | GA | MD | Orientation and Mobility Training Rehabilitation Counselor |
| OT004672 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1609042795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3482 LANCING CT",
"city": "MACON",
"state": "GA",
"postal_code": "312176212",
"telephone_number": "478-718-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3482 LANCING CT",
"city": "MACON",
"state": "GA",
"postal_code": "312176212",
"telephone_number": "478-718-4254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CELECIA",
"credential": "MOTR/L, COMS, CVRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225CX0006X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
"state": "GA",
"license": "1253",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.