Provider Demographics
NPI:1720643364
Name:SCHOTTROFFE, CHELSEA NICOLE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:NICOLE
Last Name:SCHOTTROFFE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:NICOLE
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:246 WAYNES LN
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-5562
Mailing Address - Country:US
Mailing Address - Phone:540-931-2372
Mailing Address - Fax:
Practice Address - Street 1:30 MONTVUE DR
Practice Address - Street 2:
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-1057
Practice Address - Country:US
Practice Address - Phone:540-743-4571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119-008155225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAT63187455OtherDRIVER'S LICENSE