Individual provider Active NPI

Chelsea Renea Lynn, PT

  • Physical Therapist
  • Monroe, OH
National Provider Identifier
1083085120
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 015294 Issued in OH
Practice address
20 Overbrook Dr Ste D
Monroe, OH 45050-1147
Phone
(513) 539-2886
Fax
(877) 430-7975
NPI assigned
Oct 15, 2015
Last updated
Dec 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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 PT 015294 OH Primary

Addresses

Primary practice location

20 Overbrook Dr Ste D
Monroe, OH 45050-1147

Mailing address

20 Overbrook Dr Ste D
Monroe, OH 45050-1147
Phone (513) 539-2886

Other names 1

  • Chelsea R Sutton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111001144 OH Practitioner - Physical Therapist in Private Practice 4688984271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 N Main St
Suite B
North Canton, OH 44720-8605
Phone (330) 494-1912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 015294OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Solutions LLC Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince Jun 24, 2019 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist CurrentSince Jun 24, 2019 Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients

Locations

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

5900 Long Meadow Dr
Middletown, OH 45005
Phone (513) 420-3773

20 Overbrook Dr
Ste D
Monroe, OH 45050
Phone (513) 539-2886

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1083085120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OVERBROOK DR STE D",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501147",
            "telephone_number": "513-539-2886",
            "fax_number": "877-430-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OVERBROOK DR STE D",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501147",
            "telephone_number": "513-539-2886",
            "fax_number": "877-430-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "CHELSEA",
        "middle_name": "RENEA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 015294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "SUTTON",
            "middle_name": "R",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.