Celeste Randall Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8407 Issued in CA

Legal business name

CELESTE RANDALL PHYSICAL THERAPY, INC.

Practice address

5535 Balboa Blvd
#216
Encino, CA 91316-1516

Phone

(818) 784-3096

Fax

(818) 786-3097

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Celeste Randall, P.T.

Title

Physical Therapist

Phone

(818) 784-3096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1902912181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD",
            "address_2": "#216",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161516",
            "telephone_number": "818-784-3096",
            "fax_number": "818-786-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD",
            "address_2": "#216",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161516",
            "telephone_number": "818-784-3096",
            "fax_number": "818-786-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTE RANDALL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "818-784-3096",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Encino, CA
• Providers in Encino, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.