Celeste Elaine Summer, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT9422 Issued in FL

Practice address

4442 8TH Ave N
Saint Petersburg, FL 33713-6226

Phone

(727) 742-7698

NPI assigned

Apr 24, 2007

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

Other names 1

• Ms. Celeste Elaine Petrie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770702466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 8TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337136226",
            "telephone_number": "727-742-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 8TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337136226",
            "telephone_number": "727-742-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMER",
        "first_name": "CELESTE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT9422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "PETRIE",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kerri M Sullivan
• Kristi R Sullivan
• Lauren Sullivan
• Matthew Burton Sullivan, MS CCC SLP
• Sumilang Investement Group, LLC (Angel Care Assisted Living Facility)
• Summers Anti-Aging Center LLC
• Janice Alexandra Summers, MD
• Summit Living LLC
• Summit Path Mental Health Limited Liability Company
• Alexandra Christine Summitt, D.N.P.

• Pediatric Occupational Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.