Active NPI
Chelsea Moore Fulford
- Physical Therapist
- Saint Petersburg, FL
National Provider Identifier
1861645343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19226
- Practice address
- 5088 66TH St N
Saint Petersburg, FL 33709-3120 - Phone
- (727) 541-2675
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT19226 | FL | Primary |
Addresses
Primary practice location
5088 66TH St N
Saint Petersburg, FL 33709-3120
Mailing address
7000 W Camino Real
Suite 240
Boca Raton, FL 33433-5532
Phone (561) 417-9563
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 |
|---|---|---|---|
| PT19226 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Medical Inc | Physical Therapist | Past | Accepting new patients |
| Cardiothoracic Surgery of Hyde Park Inc | Past | Accepting new patients | |
| Trinity 5 Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy in Your Home Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1093024333
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1023047107
Physical Therapist
-
- Physical Therapy Clinic/Center
- Boca Raton, FL
- NPI 1356353437
-
- Physical Therapist
- Boca Raton, FL
- NPI 1326665084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1861645343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 W CAMINO REAL",
"address_2": "SUITE 240",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335532",
"telephone_number": "561-417-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5088 66TH ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337093120",
"telephone_number": "727-541-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE FULFORD",
"first_name": "CHELSEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.