Michael Chamberlain, PT, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

1307197 Issued in TX

Practice address

215 Southside Dr
Charlotte, NC 28217-1727

Phone

(704) 848-6466

NPI assigned

Sep 6, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1811665607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 ERICKSON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057319",
            "telephone_number": "936-652-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SOUTHSIDE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171727",
            "telephone_number": "704-848-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1307197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Michele Chalecki, RD
• Elleana Chalil
• Macy McLane Chalkley, M.S. CCC-SLP
• Caroline Dana Chamberlain, PA-C
• Desiree Chamberlain, MA
• Adria D Chambers, LPCA
• Alicia Simone Chambers
• Angeline Letitia Chambers, MASSAGE THERAPIST
• Brittany Chambers
• Caroline Barritt Chambers, LCMHCA

• Sports Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Sports Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.