Active NPI
Cheryl Elwell, PT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1992976526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22501
- Practice address
- 11602 Lake Underhill Rd
Suite 129
Orlando, FL 32825-4458 - Phone
- (407) 277-5400
- Fax
- (321) 281-4942
- NPI assigned
- Mar 24, 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 | 22501 | FL | Primary |
Addresses
Primary practice location
11602 Lake Underhill Rd
Suite 129
Orlando, FL 32825-4458
Mailing address
2529 Teton Stone Run
Orlando, FL 32828-7916
Phone (321) 235-1827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 892878900 | Medicaid | FL |
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 |
|---|---|---|---|
| 22501 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1992976526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2529 TETON STONE RUN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287916",
"telephone_number": "321-235-1827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11602 LAKE UNDERHILL RD",
"address_2": "SUITE 129",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254458",
"telephone_number": "407-277-5400",
"fax_number": "321-281-4942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELWELL",
"first_name": "CHERYL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892878900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.