Provider Demographics
NPI:1093234619
Name:CARPENITO, CHELSEA JOYCE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:JOYCE
Last Name:CARPENITO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 SALUTATION ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-5509
Mailing Address - Country:US
Mailing Address - Phone:508-404-7952
Mailing Address - Fax:
Practice Address - Street 1:29 SALUTATION ST APT 4
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-5509
Practice Address - Country:US
Practice Address - Phone:508-404-7952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-14
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23033225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist