Provider Demographics
NPI:1952053092
Name:EVANS, CHELSEA PAIGE BARNES (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:PAIGE BARNES
Last Name:EVANS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:PAIGE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:122 NELSON DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3208
Mailing Address - Country:US
Mailing Address - Phone:703-475-8141
Mailing Address - Fax:
Practice Address - Street 1:122 NELSON DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3208
Practice Address - Country:US
Practice Address - Phone:703-475-8141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19456225XP0019X
VA0119009325225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation