Active NPI
Chanele Criswell
- Physical Therapist
- Elkins Park, PA
National Provider Identifier
1750129748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024615
- Practice address
- 60 Township Line Rd
Elkins Park, PA 19027-2220 - Phone
- (215) 663-6000
- NPI assigned
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT024615 | PA | Primary |
Addresses
Primary practice location
60 Township Line Rd
Elkins Park, PA 19027-2220
Mailing address
207 Girard Ave
Glenside, PA 19038-1009
Phone (215) 266-7757
Other practice location 1
1956 Limekiln Pike
Dresher, PA 19025-1917
Phone (484) 393-2243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT024615 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Age Well Physical Therapy | Physical Therapist | Past | Accepting new patients |
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": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1750129748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 GIRARD AVE",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190381009",
"telephone_number": "215-266-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 TOWNSHIP LINE RD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272220",
"telephone_number": "215-663-6000"
}
],
"practiceLocations": [
{
"address_1": "1956 Limekiln Pike",
"address_purpose": "LOCATION",
"city": "Dresher",
"state": "PA",
"postal_code": "190251917",
"country_code": "US",
"telephone_number": "484-393-2243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRISWELL",
"first_name": "CHANELE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
- Murray Allan Cooperstein, PH.D.
- Core Pediatric Cardiology, PC
- Vincent Norman Costello Jr., LSW
- Howard H. Covitz, PHD
- Ashley Patrice Teresa Crews, CHES
- Patricia Dabrowski, M.A., CCC-A
- Ingrid Johanna Dale-Ali, LCSW
- Ramsey Michael Dallal, M.D.
- Francesca Matilde Darquea, M.D.
- Dasarang Wellness Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.