Individual provider Active NPI

Celeste Bitong, RPT

  • Physical Therapist
  • Anaheim, CA
National Provider Identifier
1639567639
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27012 Issued in CA
Practice address
1720 W Orange Ave
Anaheim, CA 92804-2638
Phone
(714) 776-1720
NPI assigned
Dec 30, 2014
Last updated
Dec 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27012 CA Primary

Addresses

Primary practice location

1720 W Orange Ave
Anaheim, CA 92804-2638

Mailing address

1759 W Greenleaf Ave
Anaheim, CA 92801-4026
Phone (714) 772-3860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826001711 CA Practitioner - Physical Therapist in Private Practice 7012334717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27012CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nifty After Fifty Physical Therapist PastSince Nov 1, 2021 Accepting new patients
JM Physical Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1639567639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 W GREENLEAF AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014026",
            "telephone_number": "714-772-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W ORANGE AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042638",
            "telephone_number": "714-776-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITONG",
        "first_name": "CELESTE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.