Active NPI
Sandra Therese Cella, PTA
- Physical Therapy Assistant
- St Charles, IL
National Provider Identifier
1811254477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.005761
- Practice address
- 2445 Dean St
Unit B
St Charles, IL 60175-4828 - Phone
- (630) 513-2700
- Fax
- (630) 513-2703
- NPI assigned
- Apr 19, 2012
- Last updated
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.005761 | IL | Primary |
Addresses
Primary practice location
2445 Dean St
Unit B
St Charles, IL 60175-4828
Mailing address
363 Colonial Cir
Geneva, IL 60134-3640
Phone (630) 208-4671
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.005761 | IL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Backworks Physical Therapy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- St Charles, IL
- NPI 1235516790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1811254477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 COLONIAL CIR",
"city": "GENEVA",
"state": "IL",
"postal_code": "601343640",
"telephone_number": "630-208-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 DEAN ST",
"address_2": "UNIT B",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601754828",
"telephone_number": "630-513-2700",
"fax_number": "630-513-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELLA",
"first_name": "SANDRA",
"middle_name": "THERESE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.005761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.