Individual provider Active NPI

Celeste Krys, OTR/L

  • Occupational Therapist
  • Gulf Breeze, FL
National Provider Identifier
1669723318
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3959 Issued in FL
Practice address
1628 Whisper Bay Blvd
Gulf Breeze, FL 32563-2673
Phone
(850) 934-4324
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
Yes

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
OT3959FLMDOccupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3959 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1628 Whisper Bay Blvd
Gulf Breeze, FL 32563-2673

Mailing address

1628 Whisper Bay Blvd
Gulf Breeze, FL 32563-2673
Phone (850) 934-4324

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2012.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1669723318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 WHISPER BAY BLVD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632673",
            "telephone_number": "850-934-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 WHISPER BAY BLVD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632673",
            "telephone_number": "850-934-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYS",
        "first_name": "CELESTE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT3959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.