Individual provider Active NPI

Susan Rand Celico, PT

  • Physical Therapist
  • Narragansett, RI
National Provider Identifier
1881833630
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00442 Issued in RI
Practice address
140 Point Judith Rd
Unit A13
Narragansett, RI 02882-3451
Phone
(401) 792-0900
Fax
(401) 792-0901
NPI assigned
Feb 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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 PT00442 RI Primary

Addresses

Primary practice location

140 Point Judith Rd
Unit A13
Narragansett, RI 02882-3451

Mailing address

38 Andre Ave
Wakefield, RI 02879-1513
Phone (401) 212-9000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barlow Rehabilitation, Inc PastSince Jul 11, 2012 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1881833630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ANDRE AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028791513",
            "telephone_number": "401-212-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 POINT JUDITH RD",
            "address_2": "UNIT A13",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823451",
            "telephone_number": "401-792-0900",
            "fax_number": "401-792-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAND CELICO",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narragansett, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.