Celleen Jao

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

306566 Issued in CA

Practice address

3300 E South St Ste 203
Lakewood, CA 90805-4589

Phone

(562) 512-3320

NPI assigned

Feb 3, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Functional Rehabilitation Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lakewood, CA
  • NPI 1063083723

  Physical Therapist

  Medicare reassignment NPD
• Rehabilitation Dynamics Inc

  • Physical Therapist
  • Lakewood, CA
  • NPI 1548460157
  NPD (past)

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1619781606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 STANFORD CT",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST STE 203",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054589",
            "telephone_number": "562-512-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAO",
        "first_name": "CELLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Jacuinde
• Jamal Hussain MD Inc
• James B Lee DDS Inc
• Enola Jamora, D.C.
• Jason Matthew Janoian
• Hemali Bhakta Jardosh, O.D.
• Tharawadee Jarupan
• Fariba Javadi, M.D.
• JDS Consulting, Inc.
• Bomi Jeon, L.AC.

• Physical Therapist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.

Verify at the official NPI Registry.