Charlotte Marie Stelly-Seitz, MD

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

G8980 Issued in TX

Practice address

14707 Evergreen Ridge Way
Houston, TX 77062-2333

Phone

(832) 721-8543

Fax

(832) 742-0114

NPI assigned

Aug 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1407857543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 EVERGREEN RIDGE WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622333",
            "telephone_number": "832-721-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 EVERGREEN RIDGE WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622333",
            "telephone_number": "832-721-8543",
            "fax_number": "832-742-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLY-SEITZ",
        "first_name": "CHARLOTTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "G8980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1383066908",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "138306908",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "138306907",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HTTPS://NPPES.CMS.HHS.GOV/NPPES",
            "identifier": "1407857543",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138306908",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G8980",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.doximity.com",
            "affiliation": "Y",
            "endpointDescription": "network for healthcare",
            "affiliationName": "Doximity, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SSL protection",
            "address_1": "Doximity, Inc. HQ",
            "address_2": "500 3rd St. Suite 510",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Carter Stell
• Stella Normanday PLLC
• Stellar Hospice & Palliative Care LLC
• Stellar Hospice LLC
• Stellar Womens Care PLLC
• Anna Marie Stelly, OTD, OTR
• Katherine Stelly, FNP-C, AANP
• Tori Stelly
• Stelmach Inc
• Stelmach, Inc

• Pediatric Rehabilitation Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Rehabilitation Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.