MEDICARE: CHELSEA COX 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	225100000X	Physical Therapist	12408-24	WI

General Provider Information

NPI Number	:	1376974428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA COX DPT

Provider Business Mailing Address
First Line	:	690 RUXTON RIDGE DR
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1234
Country	:	US
Telephone Number	:	309-645-2276
Fax Number	:

Provider Business Practice Location Address
First Line	:	2790 ELM TREE HL
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54313-3004
Country	:	US
Telephone Number	:	877-407-3422
Fax Number	:	877-407-4329

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

Provider Enumeration Date	:	11/27/2013
Last Update Date	:	04/01/2025

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Directions to “ CHELSEA COX DPT” Practice Location

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