Chelsea Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CHELSEA PHYSICAL THERAPY

Practice address

100 Everett Ave # 3a
Chelsea, MA 02150-2309

Phone

(617) 947-2474

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

George Laka

Title

Office Manager

Phone

(617) 947-2474

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward David Segel, PT

  • Orthopedic Physical Therapist
  • Brookline, MA
  • NPI 1003060526
  Medicare reassignment NPD
• Dellecha Jobson

  • Home Health Aide
  • Randolph, MA
  • NPI 1013647387
  NPD
• Georgette Kamdoum, RN

  • Registered Nurse
  • Brockton, MA
  • NPI 1629716469
  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1427634898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE # 3A",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502309",
            "telephone_number": "617-947-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE # 3A",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502309",
            "telephone_number": "617-947-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "LAKA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-947-2474"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Jewish Green House, Inc.
• Chelsea Jewish Nursing Home, Inc.
• Chelsea Orthodontics, P.C
• Chelsea Pharm Inc
• Chelsea Pharm Inc
• Chelsea Revere Winthrop Home Care Center Inc.,
• Chelsea Wellness and Physical Therapy Inc
• Amos Chen
• Patricia Chen
• Mylorde Cherenfant

• Physical Therapist in Chelsea, MA
• Providers in Chelsea, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.