MEDICARE: DR. CHELSEA ELIZABETH SMITH PT

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	10920	TN
2	225100000X	Physical Therapist	PT012421	GA

General Provider Information

NPI Number	:	1831544014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSEA ELIZABETH SMITH PT

Provider Business Mailing Address
First Line	:	7240 GREGORY DR
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-2507
Country	:	US
Telephone Number	:	423-690-7220
Fax Number	:	423-301-6475

Provider Business Practice Location Address
First Line	:	140 W 14TH ST
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37402-4403
Country	:	US
Telephone Number	:	423-690-7220
Fax Number	:	423-301-6475

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

Provider Enumeration Date	:	04/26/2016
Last Update Date	:	03/12/2026

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