Individual provider Active NPI

Chelsea P. Marcelle, DPT

  • Physical Therapist
  • Concord, CA
National Provider Identifier
1184165201
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294692 Issued in CA
Practice address
1333 Willow Pass Rd Ste 110
Concord, CA 94520-5225
Phone
(192) 567-6743
NPI assigned
Mar 9, 2017
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012768 GA
Physical Therapist 225100000X 294692 CA Primary

Addresses

Primary practice location

1333 Willow Pass Rd Ste 110
Concord, CA 94520-5225

Mailing address

6000 Hillandale Dr
Ste 145
Lithonia, GA 30058-4840
Phone (678) 418-8072

Other practice location 1

6000 Hillandale Dr
Ste 145
Lithonia, GA 30058-4840
Phone (678) 418-8072

Other identifiers 1

IdentifierTypeStateIssuer
PT012768OtherGAPT LICENSE

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

State licenses

LicenseStateTypeSpecialty
294692CAMDPhysical Therapist
PT012768GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Dekalb Comprehensive Physical Therapy Limited Partnership PastSince Mar 13, 2017 Accepting new patients

Locations

20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991

1333 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 676-7431

350 Bollinger Canyon Ln
Ste A
San Ramon, CA 94582
Phone (925) 735-6414

110 La Casa Via
Ste 110
Walnut Creek, CA 94598
Phone (925) 930-6897

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

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": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1184165201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HILLANDALE DR",
            "address_2": "STE 145",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584840",
            "telephone_number": "678-418-8072",
            "fax_number": "678-518-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD STE 110",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205225",
            "telephone_number": "192-567-6743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Hillandale Dr",
            "address_2": "Ste 145",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300584840",
            "country_code": "US",
            "telephone_number": "678-418-8072",
            "fax_number": "678-518-0137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELLE",
        "first_name": "CHELSEA",
        "middle_name": "P.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012768",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT012768",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.