Active NPI
Brenda Chilstrom, OTR/L
- Occupational Therapist
- Naples, FL
National Provider Identifier
1235240243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT9691
- Practice address
- 5860 Golden Gate Pkwy
Naples, FL 34116-7459 - Phone
- (239) 455-9525
- Fax
- (239) 455-2844
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT9691 | FL | Primary |
Addresses
Primary practice location
5860 Golden Gate Pkwy
Naples, FL 34116-7459
Mailing address
102 Pebble Shores Dr
#201
Naples, FL 34110-9259
Phone (239) 455-9525
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 |
|---|---|---|---|
| OT9691 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1235240243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 PEBBLE SHORES DR",
"address_2": "#201",
"city": "NAPLES",
"state": "FL",
"postal_code": "341109259",
"telephone_number": "239-455-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5860 GOLDEN GATE PKWY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341167459",
"telephone_number": "239-455-9525",
"fax_number": "239-455-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILSTROM",
"first_name": "BRENDA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT9691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.