Chantal Elmore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017168 Issued in CO

Practice address

2 Tri County PLZ
Cumming, GA 30040-2700

Phone

(678) 771-8977

Fax

(678) 807-8695

NPI assigned

Jul 8, 2019

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

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Feldhake Physical Therapy, LTD.

  • Orthopedic Physical Therapist
  • Denver, CO
  • NPI 1124103155
  Medicare reassignment NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1710549092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W SOUTH BOULDER RD",
            "address_2": "STE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271192",
            "telephone_number": "678-771-8977",
            "fax_number": "678-807-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRI COUNTY PLZ",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402700",
            "telephone_number": "678-771-8977",
            "fax_number": "678-807-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "CHANTAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Elliott
• Ginger R Ellis
• Katie Ellison, MS, LAPC, NCC
• Kristen M Ellison
• Leslie Maria Ells, R.PH.
• Nora Elshazly
• Hafiah Eltahir, DO
• Embrace Orthodontics Cumming LLC
• Empower Sports Chiropractic LLC
• Empowerme Rehabilitation Georgia, LLC

• Physical Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.