Elisheva Chamblin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00249900 Issued in NJ

Practice address

1594 Route 9
Unit 2
Toms River, NJ 08755-3280

Phone

(732) 557-9319

Fax

(732) 557-9519

NPI assigned

Nov 1, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1225115140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ROUTE 72 W",
            "address_2": "SUITE 203",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502489",
            "telephone_number": "609-489-0230",
            "fax_number": "609-489-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 ROUTE 9",
            "address_2": "UNIT 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553280",
            "telephone_number": "732-557-9319",
            "fax_number": "732-557-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Lacey Rd",
            "address_purpose": "LOCATION",
            "city": "Whiting",
            "state": "NJ",
            "postal_code": "087592912",
            "country_code": "US",
            "telephone_number": "732-849-0700",
            "fax_number": "732-849-4718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBLIN",
        "first_name": "ELISHEVA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00249900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hak J Cha, M.D.
• Marie Chabot, HIS
• Geena Mariam Chacko, MD
• Laura Chagam
• Amanda Chajkowski, MD
• Shoshana Chandra
• Richard Chang, DO
• Yujie Chang, O.D.
• Bhaskara Rao Changala, NP
• Charles M. Cummins, OD, PA

• Physical Therapist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.