MEDICARE: CHELSEA SILVA DPT

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	2251P0200X	Pediatric Physical Therapist	4076	NE

General Provider Information

NPI Number	:	1093323867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA SILVA DPT

Provider Business Mailing Address
First Line	:	600 OAKMONT LN
Second Line	:	STE 600C
City	:	WESTMONT
State	:	IL
Zip	:	60559-5548
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:	630-928-5080

Provider Business Practice Location Address
First Line	:	3516 N 163RD PLZ
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68116-2106
Country	:	US
Telephone Number	:	402-718-5728
Fax Number	:

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

Provider Enumeration Date	:	07/17/2020
Last Update Date	:	09/10/2020

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Directions to “ CHELSEA SILVA DPT” Practice Location

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