Active NPI
Chelsea Miller, PT
- Physical Therapist
- Fairfield, CA
National Provider Identifier
1184110397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294882
- Practice address
- 222 Acacia St
Fairfield, CA 94533-3800 - Phone
- (707) 421-0418
- Fax
- (707) 434-9725
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 294882 | CA | Primary |
Addresses
Primary practice location
222 Acacia St
Fairfield, CA 94533-3800
Mailing address
222 Acacia St
Fairfield, CA 94533-3800
Phone (707) 421-0418
Other practice location 1
1009 Alamo Dr
Vacaville, CA 95687-5603
Phone (707) 421-0418
Other names 1
- Chelsea Spenser
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294882 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body in Balance Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Fairfield, CA
- NPI 1811982747
Physical Therapist
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1184110397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 ACACIA ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333800",
"telephone_number": "707-421-0418",
"fax_number": "707-434-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 ACACIA ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333800",
"telephone_number": "707-421-0418",
"fax_number": "707-434-9725"
}
],
"practiceLocations": [
{
"address_1": "1009 Alamo Dr",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956875603",
"country_code": "US",
"telephone_number": "707-421-0418",
"fax_number": "707-434-9725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "CHELSEA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "SPENSER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.