Provider Demographics
NPI:1457089948
Name:CELAURO, URIAH (PT)
Entity Type:Individual
Prefix:MR
First Name:URIAH
Middle Name:
Last Name:CELAURO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE HANSON PLACE
Mailing Address - Street 2:SUITE 704
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11243
Mailing Address - Country:US
Mailing Address - Phone:718-857-1900
Mailing Address - Fax:718-857-1902
Practice Address - Street 1:2900 N MILITARY TRL STE 220
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6308
Practice Address - Country:US
Practice Address - Phone:561-923-8292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050280225100000X
FLPT39186225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist