Provider Demographics
NPI:1811094907
Name:ROVELO, SHELLIE PARCHMAN (DPT)
Entity type:Individual
Prefix:MRS
First Name:SHELLIE
Middle Name:PARCHMAN
Last Name:ROVELO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:SHELLIE
Other - Middle Name:ANNETTE
Other - Last Name:PARCHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:6219 LINTON ST
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6736
Mailing Address - Country:US
Mailing Address - Phone:504-259-6505
Mailing Address - Fax:
Practice Address - Street 1:4520 DONALD ROSS RD STE 200
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-5105
Practice Address - Country:US
Practice Address - Phone:954-659-5370
Practice Address - Fax:954-659-5370
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL38921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1929832Medicaid
LA1929832Medicaid