Active NPI
Chelsey Llaurador
- Physical Therapist
- Smyrna, GA
National Provider Identifier
1962996298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013408
- Practice address
- 2905 Atlanta Rd SE Ste 300
Smyrna, GA 30080-3654 - Phone
- (470) 632-1019
- Fax
- (470) 632-1026
- NPI assigned
- Jun 20, 2018
- Last updated
- May 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PT013408 | GA | Primary |
Addresses
Primary practice location
2905 Atlanta Rd SE Ste 300
Smyrna, GA 30080-3654
Mailing address
2905 Atlanta Rd SE Ste 300
Smyrna, GA 30080-3654
Phone (470) 632-1019
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013408 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennestone Hospital, Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wellstar Kennestone Hospital Inpatient Psych Unit
- Psychiatric Hospital Unit
- Atlanta, GA
- NPI 1689361438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1962996298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 ATLANTA RD SE STE 300",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300803654",
"telephone_number": "470-632-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 ATLANTA RD SE STE 300",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300803654",
"telephone_number": "470-632-1019",
"fax_number": "470-632-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLAURADOR",
"first_name": "CHELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.