Individual provider Active NPI

Chaney Stiligch Mottin, MAED, ATC, LAT

  • Specialist
  • Orlando, FL
National Provider Identifier
1467419879
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AL1545 Issued in FL
Practice address
6100 Oleander Dr
Attn: Cmottin
Orlando, FL 32807
Phone
(407) 482-6300
Fax
(407) 482-6325
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AL1545 FL Primary

Addresses

Primary practice location

6100 Oleander Dr
Attn: Cmottin
Orlando, FL 32807

Mailing address

2425 E Jersey Ave
Orlando, FL 32806-5022
Phone (407) 376-3061

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AL1545FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1467419879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E JERSEY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065022",
            "telephone_number": "407-376-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 OLEANDER DR",
            "address_2": "ATTN: CMOTTIN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32807",
            "telephone_number": "407-482-6300",
            "fax_number": "407-482-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTIN",
        "first_name": "CHANEY",
        "middle_name": "STILIGCH",
        "name_prefix": "Mrs.",
        "credential": "MAED, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "AL1545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.