Healthcare Provider Details

I. General information

NPI: 1124479191
Provider Name (Legal Business Name): CHELSEA M HEMMELGARN PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2587 COMMONS BLVD STE 120
BEAVERCREEK OH
45431-3841
US

IV. Provider business mailing address

6480 HARRISON AVE STE 201
CINCINNATI OH
45247-7961
US

V. Phone/Fax

Practice location:
  • Phone: 937-426-5555
  • Fax: 937-426-5556
Mailing address:
  • Phone: 513-818-0043
  • Fax: 513-964-9575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022119
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: