Healthcare Provider Details

I. General information

NPI: 1811960172
Provider Name (Legal Business Name): SHELLY L CHAMBERLAIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHELLY FELIX

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 MAIN ST
GREENVILLE PA
16125-2129
US

IV. Provider business mailing address

PO BOX 66
CANFIELD OH
44406-0066
US

V. Phone/Fax

Practice location:
  • Phone: 724-588-2870
  • Fax: 724-588-2890
Mailing address:
  • Phone: 330-759-2603
  • Fax: 330-759-2569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016782
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: