Organization Active NPI

Celtic Physical Therapy, LLC

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1952042673
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CELTIC PHYSICAL THERAPY, LLC
Practice address
3726 Battleground Ave Ste B
Greensboro, NC 27410-2344
Phone
(336) 706-4321
Fax
(336) 313-0973
NPI assigned
Apr 5, 2022
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Eoin ColleranNPI 1912306192
Title
Physical Therapist
Phone
(336) 706-4321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3726 Battleground Ave Ste B
Greensboro, NC 27410-2344

Mailing address

3726 Battleground Ave Ste B
Greensboro, NC 27410-2344
Phone (336) 706-4321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907002308 NC Part B Supplier - Clinic/Group Practice 6002290269 Receives reassigned benefits from 2 practitioners
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory
Tax ID family
Celtic Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3726 Battleground Ave
#B
Greensboro, NC 27410
Phone (336) 265-6731

4123 Lawndale Dr
Ste 101
Greensboro, NC 27455
Phone (336) 274-2003

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1952042673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 BATTLEGROUND AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102344",
            "telephone_number": "336-706-4321",
            "fax_number": "336-900-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 BATTLEGROUND AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102344",
            "telephone_number": "336-706-4321",
            "fax_number": "336-313-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELTIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "COLLERAN",
        "authorized_official_first_name": "EOIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "336-706-4321"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.