Individual provider Active NPI

Kara Chelo, PT, DPT

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1437680527
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 292836 Issued in CA
Practice address
17122 Beach Blvd
#101
Huntington Beach, CA 92647-5992
Phone
(714) 848-7191
Fax
(714) 375-7563
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 292836 CA Primary
Physical Therapist 225100000X PT 29491 FL

Addresses

Primary practice location

17122 Beach Blvd
#101
Huntington Beach, CA 92647-5992

Mailing address

17122 Beach Blvd
#101
Huntington Beach, CA 92647-5992
Phone (714) 848-7191

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
PT 292836CAMDPhysical Therapist
PT 29491FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trellis Physical Therapy a Professional Rehab Group Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1437680527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17122 BEACH BLVD",
            "address_2": "#101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475992",
            "telephone_number": "714-848-7191",
            "fax_number": "714-375-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17122 BEACH BLVD",
            "address_2": "#101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475992",
            "telephone_number": "714-848-7191",
            "fax_number": "714-375-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELO",
        "first_name": "KARA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 292836",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 29491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.