Provider Demographics
NPI:1861938573
Name:BROWN, CHELSEA R (MS OTR/L, CLT)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:R
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS OTR/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-0045
Mailing Address - Country:US
Mailing Address - Phone:247-571-5483
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 45
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-0045
Practice Address - Country:US
Practice Address - Phone:247-571-5483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014558225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1356349237Medicare PIN
PA396794Medicare UPIN