Individual provider Active NPI

Traci Lenig Cecco, PTA

  • Physical Therapy Assistant
  • Sunbury, PA
National Provider Identifier
1659522860
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE1000148 Issued in PA
Practice address
800 Court St
Circl Drive
Sunbury, PA 17801-2818
Phone
(570) 286-7121
NPI assigned
Oct 7, 2008
Last updated
Oct 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE1000148 PA Primary

Addresses

Primary practice location

800 Court St
Circl Drive
Sunbury, PA 17801-2818

Mailing address

2693 Lower Rd
Shamokin, PA 17872-7717

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

LicenseStateTypeSpecialty
TE1000148PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1659522860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 LOWER RD",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178727717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COURT ST",
            "address_2": "CIRCL DRIVE",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012818",
            "telephone_number": "570-286-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECCO",
        "first_name": "TRACI",
        "middle_name": "LENIG",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1000148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.