Active NPI
Chelsea Nicole Haller, D.P.T.
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1306134366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4436
- Practice address
- 5604 N.W. 41St
Suite 220
Oklahoma City, OK 73122 - Phone
- (405) 495-3770
- NPI assigned
- Jul 12, 2011
- 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 | 4436 | OK | Primary |
Addresses
Primary practice location
5604 N.W. 41St
Suite 220
Oklahoma City, OK 73122
Mailing address
5604 N.W. 41St
Suite 220
Oklahoma City, OK 73122
Phone (405) 495-3770
Other names 1
- Chelsea Nicole Smith
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 |
|---|---|---|---|
| 4436 | OK | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1306134366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 N.W. 41ST",
"address_2": "SUITE 220",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73122",
"telephone_number": "405-495-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 N.W. 41ST",
"address_2": "SUITE 220",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73122",
"telephone_number": "405-495-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLER",
"first_name": "CHELSEA",
"middle_name": "NICOLE",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "SMITH",
"middle_name": "NICOLE",
"credential": "D.P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.