Charles Andrew Schelly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC23106 Issued in CA

Practice address

54545 N. Circle Drive
Suite 2
Idyllwild, CA 92549-1805

Phone

(951) 659-4663

NPI assigned

Feb 22, 2007

Last updated

Jul 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy-Sports Institute IncGroup PAC ID 2163463878, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.schellydc.p16@direct.kmsm.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Physical Therapy-Sports Institute, Inc.

  • Physical Therapist
  • Hemet, CA
  • NPI 1811050156
  Medicare reassignment Care Compare group NPD
• Physical Therapy Sports Institute Dennis L. Rohrig PT & Associates, in

  • Physical Therapist
  • Hemet, CA
  • NPI 1861799488
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1083749113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1805",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925491805",
            "telephone_number": "951-659-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54545 N. CIRCLE DRIVE",
            "address_2": "SUITE 2",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925491805",
            "telephone_number": "951-659-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLY",
        "first_name": "CHARLES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalya Ptashinsky, NURSE PRACTITIONER
• Christine Pyo
• Jennifer Lynn Rago
• Regenerative Medical Group Inc
• Destiny Russell
• Brenda Scherlis, NP
• Curt Ian Scott, RN
• St. Mary Medical Group, LLC (Idyllwild Pharmacy)
• Julie Anne Steiger, MSW, ASW
• Jodi Ann Sutherland

• Chiropractor in Idyllwild, CA
• Providers in Idyllwild, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.