Healthcare Provider Details

I. General information

NPI: 1700740917
Provider Name (Legal Business Name): CHELSEY ANDRADA-RICKARD PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 VETERANS BLVD
REDWOOD CITY CA
94063-2612
US

IV. Provider business mailing address

1798 AUDREY CT
BENICIA CA
94510-2645
US

V. Phone/Fax

Practice location:
  • Phone: 650-299-4364
  • Fax:
Mailing address:
  • Phone: 707-334-8616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number308706
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: