Active NPI
Steven T Chenoweth, PT
- Physical Therapist
- Fernandina Beach, FL
National Provider Identifier
1760488258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 13398
- Practice address
- 308 1/2 Centre St Ofc 2
Fernandina Beach, FL 32034-4241 - Phone
- (904) 432-7558
- Fax
- (866) 858-7371
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT003663 | GA | |
| Physical Therapist | 225100000X | PT 13398 | FL | Primary |
Addresses
Primary practice location
308 1/2 Centre St Ofc 2
Fernandina Beach, FL 32034-4241
Mailing address
PO Box 1975
Rome, GA 30162-1975
Phone (904) 432-7558
Other practice location 1
201 Turner McCall Blvd NW
Rome, GA 30165-2545
Phone (706) 235-2727
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000786508A | Medicaid | GA | |
| 000786508G | Medicaid | GA | |
| 000786508F | Medicaid | GA | |
| 887934600 | Medicaid | FL | |
| 000786508L | Medicaid | GA | |
| 000786508K | Medicaid | GA | |
| 000786508M | Medicaid | GA | |
| P00319893 | Other | GA | RR MEDICARE |
| 000786508H | Medicaid | GA | |
| P00367613 | Other | FL | RR MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 13398 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Therafit, LLC | Physical Therapist | Past | Accepting new patients |
| Sixfourthree, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Cookeville, TN
- NPI 1356984769
-
- Exclusive Provider Organization
- Madison, AL
- NPI 1649828328
-
- Physical Therapist
- Hazel Green, AL
- NPI 1063421857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760488258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1975",
"city": "ROME",
"state": "GA",
"postal_code": "301621975",
"telephone_number": "904-432-7558",
"fax_number": "866-858-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 1/2 CENTRE ST OFC 2",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320344241",
"telephone_number": "904-432-7558",
"fax_number": "866-858-7371"
}
],
"practiceLocations": [
{
"address_1": "201 Turner McCall Blvd NW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301652545",
"country_code": "US",
"telephone_number": "706-235-2727",
"fax_number": "706-235-2726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHENOWETH",
"first_name": "STEVEN",
"middle_name": "T",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT003663",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 13398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000786508A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000786508G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000786508F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887934600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000786508L",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000786508K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000786508M",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00319893",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000786508H",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00367613",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.