Organization Active NPI

Chamblee Concierge Physical Therapy

  • Physical Therapist
  • Daphne, AL
National Provider Identifier
1396403366
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHAMBLEE CONCIERGE PHYSICAL THERAPY
Practice address
420 Village Dr
Daphne, AL 36526-4001
Phone
(251) 610-4779
NPI assigned
Dec 7, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Laura Chamblee, DPT
Title
Owner
Phone
(251) 610-4779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

420 Village Dr
Daphne, AL 36526-4001

Mailing address

420 Village Dr
Daphne, AL 36526-4001
Phone (251) 610-4779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1396403366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 VILLAGE DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264001",
            "telephone_number": "251-610-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 VILLAGE DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264001",
            "telephone_number": "251-610-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBLEE CONCIERGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "CHAMBLEE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-610-4779",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.