Individual provider Active NPI

Chelsea Marie Conzett, DPT

  • Physical Therapist
  • Austintown, OH
National Provider Identifier
1093258337
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016666 Issued in OH
Practice address
6006 Mahoning Ave
Suite G
Austintown, OH 44515-2239
Phone
(330) 755-3000
Fax
(330) 599-7008
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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 PT016666 OH Primary

Addresses

Primary practice location

6006 Mahoning Ave
Suite G
Austintown, OH 44515-2239

Mailing address

8073 Washington Village Dr
Suite 110
Dayton, OH 45458-1847
Phone (937) 813-8052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1093258337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8073 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581847",
            "telephone_number": "937-813-8052",
            "fax_number": "937-813-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 MAHONING AVE",
            "address_2": "SUITE G",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152239",
            "telephone_number": "330-755-3000",
            "fax_number": "330-599-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONZETT",
        "first_name": "CHELSEA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.