MEDICARE: CELEBI & SMITH PT PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251S0007X	Sports Physical Therapist

General Provider Information

NPI Number	:	1982260915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELEBI & SMITH PT PLLC

Provider Business Mailing Address
First Line	:	50 AUSTIN BLVD
Second Line	:
City	:	COMMACK
State	:	NY
Zip	:	11725-5723
Country	:	US
Telephone Number	:	833-734-2263
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 AUSTIN BLVD
Second Line	:
City	:	COMMACK
State	:	NY
Zip	:	11725-5723
Country	:	US
Telephone Number	:	833-734-2263
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KAAN CELEBI
Credential	:	DPT
Telephone Number	:	833-734-2263

Provider Enumeration Date	:	05/15/2019
Last Update Date	:	05/15/2019

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