Individual provider Active NPI

Celso Cabiles Cueto, PT

  • Physical Therapist
  • Valley Stream, NY
National Provider Identifier
1750422887
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019423-1 Issued in NY
Practice address
360A W Merrick Rd
Suite # 280
Valley Stream, NY 11580-5344
Phone
(516) 837-3457
Fax
(516) 776-9695
NPI assigned
Feb 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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 019423-1 NY Primary

Addresses

Primary practice location

360A W Merrick Rd
Suite # 280
Valley Stream, NY 11580-5344

Mailing address

360A W Merrick Rd
Suite # 280
Valley Stream, NY 11580-5344
Phone (516) 837-3457

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
019423-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Celso C Cueto PT, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1750422887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360A W MERRICK RD",
            "address_2": "SUITE # 280",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805344",
            "telephone_number": "516-837-3457",
            "fax_number": "516-776-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360A W MERRICK RD",
            "address_2": "SUITE # 280",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805344",
            "telephone_number": "516-837-3457",
            "fax_number": "516-776-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUETO",
        "first_name": "CELSO",
        "middle_name": "CABILES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019423-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.