MEDICARE: CHELSEY EILEEN SHOENER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305209726	VA
2	225100000X	Physical Therapist	13251	NC

General Provider Information

NPI Number	:	1538535810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY EILEEN SHOENER

Provider Business Mailing Address
First Line	:	24 E BAYSHORE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-5358
Country	:	US
Telephone Number	:	401-741-7729
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 E BAYSHORE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-5358
Country	:	US
Telephone Number	:	401-741-7729
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2015
Last Update Date	:	01/26/2022

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Directions to “ CHELSEY EILEEN SHOENER ” Practice Location

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