Cameron Trent Chisenall

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH11691 Issued in AL

Practice address

52 Business Park Dr
Albertville, AL 35951-7201

Phone

(256) 400-1520

NPI assigned

Feb 8, 2024

Sex

Male

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

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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.

• HH Health System - the Orthopaedic Center, LLC

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1376220822
  Medicare reassignment NPD
• The Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1205880291
  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1386408557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "357723000",
            "telephone_number": "423-309-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BUSINESS PARK DR",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359517201",
            "telephone_number": "256-400-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISENALL",
        "first_name": "CAMERON",
        "middle_name": "TRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brae Chapman, BCBA
• Meagan Rylea Chastain
• Child Life Pediatrics LLC
• Chiropractic Outreach LLC
• Chiropractic Outreach, Inc.
• Michael Marcel Cinader, D.C.
• City of Albertville
• Molli A Clark, RBT
• Karen Christine Clements
• Jeremy D Cleveland, ATC

• Physical Therapist in Albertville, AL
• Providers in Albertville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.