MEDICARE: DR. CHELSEA CLARK JANASEK PT, DPT, OCS

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	2251X0800X	Orthopedic Physical Therapist	10410	SC

General Provider Information

NPI Number	:	1770101388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSEA CLARK JANASEK PT, DPT, OCS

Provider Business Mailing Address
First Line	:	10 TUPELO CT
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-6027
Country	:	US
Telephone Number	:	804-516-9369
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 BEN CASEY DR STE 127
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-8557
Country	:	US
Telephone Number	:	803-802-5855
Fax Number	:

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

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	05/27/2026

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