Active NPI
Chantelle Jerald
- Physical Therapist
- Tarpon Springs, FL
National Provider Identifier
1245117712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34985
- Practice address
- 1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790 - Phone
- (727) 943-4163
- NPI assigned
- Aug 18, 2025
- Last updated
- Aug 18, 2025
- 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 | PT34985 | FL | Primary |
Addresses
Primary practice location
1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Mailing address
2547 Indigo Dr
Dunedin, FL 34698-6520
Phone (772) 631-4166
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 |
|---|---|---|---|
| PT34985 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1245117712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2547 INDIGO DR",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986520",
"telephone_number": "772-631-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 S PINELLAS AVE",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346893790",
"telephone_number": "727-943-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERALD",
"first_name": "CHANTELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.