Active NPI
Chelsea Faith Connolly
- Physical Therapist
- Laguna Hills, CA
National Provider Identifier
1457118804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305531
- Practice address
- 23961 Calle de la Magdalena
Laguna Hills, CA 92653-3616 - Phone
- (949) 837-5111
- NPI assigned
- Mar 4, 2024
- Last updated
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305531 | CA | Primary |
Addresses
Primary practice location
23961 Calle de la Magdalena
Laguna Hills, CA 92653-3616
Mailing address
13057 San Marcos PL
Chino, CA 91710-3180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Strassner Dr
Saint Louis, MO 63144-1872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305531 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1457118804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13057 SAN MARCOS PL",
"city": "CHINO",
"state": "CA",
"postal_code": "917103180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23961 CALLE DE LA MAGDALENA",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533616",
"telephone_number": "949-837-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "CHELSEA",
"middle_name": "FAITH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
- Complete Balance Solution Institute of Physiotherapy Inc
- Marian Kaycee Concepcion, COTA/L
- David George Congo, PSY.D.
- Janet Marie Congo, MFT
- Connect Hearing, Inc.
- James W Connor, MD
- Gretchen Lynn Conroy, M.D.
- Victoria Consani, DPT
- Consulting Dynamics, Inc. (Inner Image Diagnostics Center)
- Maribel Contreras
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.