Individual provider Active NPI

Chelsea Martin, DPT

  • Physical Therapist
  • Novato, CA
National Provider Identifier
1669119962
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302032 Issued in CA
Practice address
1427 Grant Ave
Novato, CA 94945-3118
Phone
(415) 895-1705
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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 302032 CA Primary

Addresses

Primary practice location

1427 Grant Ave
Novato, CA 94945-3118

Mailing address

1427 Grant Ave
Novato, CA 94945-3118
Phone (415) 895-1705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503001056 CA Practitioner - Physical Therapist in Private Practice 5799140315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Physical Therapy PC Physical Therapist CurrentSince Dec 23, 2022 Accepting new patients

Locations

591 Redwood Hwy Frontage Rd
Ste 2235
Mill Valley, CA 94941
Phone (415) 381-8707

1427 Grant Ave
Novato, CA 94945
Phone (415) 275-2377

460 Boulevard Way
Ste 2D
Piedmont, CA 94610
Phone (510) 922-8872

659 Commercial St
Ste 101
San Francisco, CA 94111
Phone (415) 904-8707

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.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1669119962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 GRANT AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453118",
            "telephone_number": "415-895-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 GRANT AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453118",
            "telephone_number": "415-895-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHELSEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.