Celtic PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CELTIC PT LLC

Practice address

4113 Lawndale Dr
Greensboro, NC 27455-1889

Phone

(336) 235-4530

Fax

(336) 235-0754

NPI assigned

Jan 27, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Brooks

Title

Business Manager

Phone

(336) 235-4530

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Nicole Bounthanom

  • Massage Therapist
  • Jber, AK
  • NPI 1235642034
  NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1831780451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551889",
            "telephone_number": "336-660-0019",
            "fax_number": "336-235-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551889",
            "telephone_number": "336-235-4530",
            "fax_number": "336-235-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELTIC PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "336-235-4530"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vincent Anthony Cefola, MD
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• Celtic Wound Care LLC
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• Physical Therapist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.