Individual provider Active NPI

Ronald Chelsvig, PT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1548631682
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008020L Issued in PA
Practice address
10501 Academy Rd
Unit N
Philadelphia, PA 19114-1137
Phone
(215) 743-4435
Fax
(215) 743-8750
NPI assigned
Oct 15, 2015
Last updated
Oct 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008020L PA Primary

Addresses

Primary practice location

10501 Academy Rd
Unit N
Philadelphia, PA 19114-1137

Mailing address

6611 Lotus Rd
Philadelphia, PA 19151-2345
Phone (610) 880-3738

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

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1548631682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 LOTUS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512345",
            "telephone_number": "610-880-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 ACADEMY RD",
            "address_2": "UNIT N",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141137",
            "telephone_number": "215-743-4435",
            "fax_number": "215-743-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELSVIG",
        "first_name": "RONALD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008020L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.