Individual provider Active NPI

Nancy Chamberlin

  • Physical Therapist
  • Marco Island, FL
National Provider Identifier
1558995175
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30262 Issued in FL
Practice address
101 Sand Hill St
Marco Island, FL 34145-4614
Phone
(239) 571-9015
NPI assigned
Feb 24, 2020
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 30262 FL Primary

Addresses

Primary practice location

101 Sand Hill St
Marco Island, FL 34145-4614

Mailing address

8016 Princeton Dr
Naples, FL 34104-6666
Phone (239) 571-9015

Other identifiers 1

IdentifierTypeStateIssuer
30262OtherFLPT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mycorehealthpartners.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200319002517 FL Practitioner - Physical Therapist in Private Practice 2860820131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go-PT IncGroup PAC ID 9032566799, 25 clinicians

Practice addresses (Care Compare)

900 E Indiantown Rd
Suite 100
Jupiter, FL 33477-5142
Phone (888) 627-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30262FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go-PT Inc. Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
Core Health O T PLLC CurrentSince Apr 14, 2024 Accepting new patients

Locations

900 E Indiantown Rd
Ste 100
Jupiter, FL 33477
Phone (888) 627-2325

Organizations & group practices 2

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1558995175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 PRINCETON DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046666",
            "telephone_number": "239-571-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAND HILL ST",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341454614",
            "telephone_number": "239-571-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "NANCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "30262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "30262",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mycorehealthpartners.com",
            "affiliation": "N",
            "address_1": "8016 Princeton Dr",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341046666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.