Kelli Chandler, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1182867 Issued in TX

Practice address

2966 Woodland Hills
Grapevine, TX 76051

Phone

(870) 723-5068

NPI assigned

Aug 22, 2008

Last updated

Nov 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Concierge Orthopedics

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1518667484
  NPD Authorized official

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1710134531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2966 WOODLAND HILLS DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516426",
            "telephone_number": "870-723-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2966 WOODLAND HILLS",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "870-723-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "KELLI",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1182867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerpointe Behavioral Health Dallas LLC
• Centrum Medical Group, PLLC
• Jeffrey Joseph Cervenka
• Justin Chan, M. D.
• Jacob Allen Chandler, DDS
• Sachi Chandran, APRN, FNP-C
• Doris H Chao, O.D.
• Jason Scott Chastain, PA-C
• Elizabeth Anne Chatterton, M.ED., BCBA, LBA
• Shelly Smith Chaudhari, RD, LD, CDE

• Physical Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.