Provider Demographics
NPI:1649651449
Name:CHAPPELL, JOSHUA S (OTR/L)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:S
Last Name:CHAPPELL
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1895 WOODWARD CT
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-8090
Mailing Address - Country:US
Mailing Address - Phone:814-270-5276
Mailing Address - Fax:
Practice Address - Street 1:9255 US HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091-7199
Practice Address - Country:US
Practice Address - Phone:814-270-5276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH008848225X00000X
KY163418225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist