Individual provider Active NPI

Celina Moon, PT, DPT

  • Physical Therapist
  • Conway, NH
National Provider Identifier
1821386624
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
71 Hobbs St
Conway, NH 03818-8109
Phone
(603) 447-4356
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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 Primary

Addresses

Primary practice location

71 Hobbs St
Conway, NH 03818-8109

Mailing address

24 Raycrest Dr
Randolph, NH 03593-5212
Phone (401) 497-1470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001001866 NH Practitioner - Physical Therapist in Private Practice 7113235755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3561NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlisle Place Physical Therapy and Wellness Center, LLC Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
Northern Human Services PastSince Aug 17, 2025 Accepting new patients

Locations

685 Presidential Hwy
Jefferson, NH 03583
Phone (603) 586-4100

55 Main St
Lancaster, NH 03584
Phone (603) 586-6046

Organizations & group practices 2

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1821386624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RAYCREST DR",
            "city": "RANDOLPH",
            "state": "NH",
            "postal_code": "035935212",
            "telephone_number": "401-497-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOBBS ST",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038188109",
            "telephone_number": "603-447-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "CELINA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.