Individual provider Active NPI

Steven T Chenoweth, PT

  • Physical Therapist
  • Fernandina Beach, FL
National Provider Identifier
1760488258
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 13398 Issued in FL
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000786508AMedicaidGA
000786508GMedicaidGA
000786508FMedicaidGA
887934600MedicaidFL
000786508LMedicaidGA
000786508KMedicaidGA
000786508MMedicaidGA
P00319893OtherGARR MEDICARE
000786508HMedicaidGA
P00367613OtherFLRR 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

LicenseStateTypeSpecialty
PT 13398FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Physical Therapy Services, LLC Physical Therapist PastSince May 1, 2025 Accepting new patients
Therafit, LLC Physical Therapist PastSince Feb 7, 2022 Accepting new patients
Sixfourthree, LLC PastSince Jun 5, 2024 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.

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.

Verify at the official NPI Registry.