Individual provider Active NPI

Susan Rowan Chelec, MSPT

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1841391885
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42179 Issued in CA
Practice address
1470 E Valley Rd
M
Santa Barbara, CA 93108-1220
Phone
(805) 565-5252
Fax
(805) 565-5250
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 7940 CO
Physical Therapist 225100000X 42179 CA Primary

Addresses

Primary practice location

1470 E Valley Rd
M
Santa Barbara, CA 93108-1220

Mailing address

PO Box 5656
Santa Barbara, CA 93150-5656
Phone (805) 565-5252

Other identifiers 1

IdentifierTypeStateIssuer
PT42179OtherCACALIFORNIA LICENSE NUMBER

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
42179CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Club International LLC PastSince Sep 1, 1999 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1841391885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5656",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931505656",
            "telephone_number": "805-565-5252",
            "fax_number": "805-565-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E VALLEY RD",
            "address_2": "M",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931081220",
            "telephone_number": "805-565-5252",
            "fax_number": "805-565-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELEC",
        "first_name": "SUSAN",
        "middle_name": "ROWAN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "7940",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "PT42179",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.