CHP FL Medical Affiliates, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CHP FL MEDICAL AFFILIATES, PLLC

Practice address

557 Health Blvd Ste 100
Daytona Beach, FL 32114-1427

Phone

(941) 400-0641

NPI assigned

Jul 10, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Brian Crenshaw, MD

Title

Owner

Phone

(941) 400-0641

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth J Chandler, MD

  • Physical Medicine & Rehabilitation Physician
  • Gainesville, FL
  • NPI 1558491886
  Medicare reassignment NPD
• Frank Edwin Witter, M.D.

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1811001332
  Medicare reassignment NPD

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1245121052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 BRIER CREEK CT",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024215",
            "telephone_number": "941-400-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 HEALTH BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141427",
            "telephone_number": "941-400-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHP FL MEDICAL AFFILIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-400-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Home Services of Central Florida
• Shannon Dre Chisholm, PA-C
• Monica Chitta
• Mohammad Salman Choudhary, M.D PHD
• Medhat Rafique Chowdhury, MD
• Kelsey Chrisley, ARNP
• Joseph Alma Christensen, DO
• Edward Christy, M.D.
• Hanna Chumita, DC
• Kaylee Anne Chumsae

• Physical Medicine & Rehabilitation Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.