Active NPI
Carolyn A. Chenowith, OTR/L
- Specialist
- Polk City, FL
National Provider Identifier
1508887159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6319
- Practice address
- 7053 Tall Pine Rd
Polk City, FL 33868 - Phone
- (863) 712-1452
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6319 | FL | Primary |
Addresses
Primary practice location
7053 Tall Pine Rd
Polk City, FL 33868
Mailing address
7053 Tall Pine Rd
Polk City, FL 33868-9355
Phone (863) 712-1452
Other practice location 1
330 S 10th St
Haines City, FL 33844-5602
Phone (863) 421-0556
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6319 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Rehab & Wellness Inc | 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 and National Provider Directory roles.
-
- Physical Therapist
- Lakeland, FL
- NPI 1124026844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556323200000",
"number": "1508887159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7053 TALL PINE RD",
"city": "POLK CITY",
"state": "FL",
"postal_code": "338689355",
"telephone_number": "863-712-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7053 TALL PINE RD",
"city": "POLK CITY",
"state": "FL",
"postal_code": "33868",
"telephone_number": "863-712-1452"
}
],
"practiceLocations": [
{
"address_1": "330 S 10th St",
"address_purpose": "LOCATION",
"city": "Haines City",
"state": "FL",
"postal_code": "338445602",
"country_code": "US",
"telephone_number": "863-421-0556",
"fax_number": "863-421-0467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHENOWITH",
"first_name": "CAROLYN",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2019-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "6319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Polk City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.