Individual provider Active NPI

Chelsea Lee Jentsch, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1730755356
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5950 Fairview Rd
Charlotte, NC 28210-3104
Phone
(980) 299-7853
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 Primary

Addresses

Primary practice location

5950 Fairview Rd
Charlotte, NC 28210-3104

Mailing address

5033 Oakmere Rd
Waxhaw, NC 28173-0296
Phone (716) 983-4257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729001272 NC Practitioner - Physical Therapist in Private Practice 8325441264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Sports Chiropractic PLLCGroup PAC ID 1254584659, 10 clinicians

Practice addresses (Care Compare)

5950 Fairview Rd
Suite 218
Charlotte, NC 28210-3104
Phone (704) 544-5353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Sports Chiropractic PLLC CurrentSince Jul 1, 2021 Accepting new patients
Rejuvenation Chiropractic PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

5950 Fairview Rd
Ste 218
Charlotte, NC 28210
Phone (704) 544-5353

8912 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 544-5353

6060 Piedmont Row Dr S
Ste 140
Charlotte, NC 28287
Phone (704) 544-5353

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1730755356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 OAKMERE RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730296",
            "telephone_number": "716-983-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103104",
            "telephone_number": "980-299-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENTSCH",
        "first_name": "CHELSEA",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.