NPIMap

Organization Active NPI

Chandler Physical Therapy & Sports Rehab, LLC

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1841506524
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
P10757 Issued in NC
Legal business name
CHANDLER PHYSICAL THERAPY & SPORTS REHAB, LLC
Practice address
1396 Westgate Center Dr
Suite B
Winston Salem, NC 27103-2932
Phone
(336) 331-3277
Fax
(336) 331-3279
NPI assigned
Aug 19, 2010
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Mr. Jeffrey A Chandler, MSPT, ATCNPI 1720195787
Title
Physical Therapist/Owner
Phone
(336) 331-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X P10757 NC Primary

Addresses

Primary practice location

1396 Westgate Center Dr
Suite B
Winston Salem, NC 27103-2932

Mailing address

1396 Westgate Center Dr Ste B
Winston Salem, NC 27103-2932
Phone (336) 331-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101023000018 NC Part B Supplier - Clinic/Group Practice 8628261583 Receives reassigned benefits from 9 practitioners
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

1396B Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 331-3277

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1841506524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 WESTGATE CENTER DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032932",
            "telephone_number": "336-331-3277",
            "fax_number": "336-331-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 WESTGATE CENTER DR",
            "address_2": "SUITE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032932",
            "telephone_number": "336-331-3277",
            "fax_number": "336-331-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER PHYSICAL THERAPY & SPORTS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "336-331-3277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P10757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.