Individual provider Active NPI

Sandra Therese Cella, PTA

  • Physical Therapy Assistant
  • St Charles, IL
National Provider Identifier
1811254477
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.005761 Issued in IL
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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 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

LicenseStateTypeSpecialty
160.005761ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Backworks Physical Therapy LLC PastSince Nov 1, 2014 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.

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.

Verify at the official NPI Registry.