Individual provider Active NPI

Chelsea Engelhardt, DPT

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1396229167
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33921 Issued in FL
Practice address
709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1936
Phone
(321) 802-5814
Fax
(321) 802-5811
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT33921 FL Primary

Addresses

Primary practice location

709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1936

Mailing address

709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1936
Phone (321) 802-5814

Other practice location 1

6300 N Wickham Rd Ste 116
Melbourne, FL 32940-2023
Phone (321) 802-5814

Other practice location 2

5445 Murrell Rd Ste 105
Viera, FL 32955-6679
Phone (321) 805-5814

Other practice location 3

2030 S Patrick Dr Ste 3
Indian Harbour Beach, FL 32937-4400
Phone (321) 802-5814

Other practice location 4

4311 Norfolk Pkwy Ste 116
West Melbourne, FL 32904-8617
Phone (321) 802-5814

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33921FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1396229167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 N Wickham Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402023",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5445 Murrell Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Viera",
            "state": "FL",
            "postal_code": "329556679",
            "country_code": "US",
            "telephone_number": "321-805-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 S Patrick Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "postal_code": "329374400",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4311 Norfolk Pkwy Ste 116",
            "address_purpose": "LOCATION",
            "city": "West Melbourne",
            "state": "FL",
            "postal_code": "329048617",
            "country_code": "US",
            "telephone_number": "321-802-5814",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELHARDT",
        "first_name": "CHELSEA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.