CHANTEL NICOLE YEARWOOD (PT) – Orthopedic Physical Therapist, NPI 1770099517

CHANTEL NICOLE YEARWOOD (PT) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT32935 (FL). The NPI Number for CHANTEL NICOLE YEARWOOD (PT) is 1770099517

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CHANTEL NICOLE YEARWOOD (PT)
NPI
1770099517
Phone
(813) 254-9475
Address
613 S Magnolia Ave
Enumeration Date
15 December 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8137793780
Graduation Year
2017 (9 years ago)
PAC ID
0042628299
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20210428000832
Address ID
FL335401419ZE38130RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for CHANTEL NICOLE YEARWOOD (PT)

  • 613 S Magnolia Ave

    Tampa, FL 336062767

    Phone: (813) 254-9475

    Fax: (813) 251-0460

    Type: Location

  • 613, South Magnolia Avenue, Hyde Park, Tampa, Hillsborough County, Florida, 33606, United States

    TAMPA, FL 336062767

    Phone: (813) 254-9475

    Type: Mailing

  • Ashley Oaks Circle, Wesley Chapel, Pasco County, Florida, United States

    WESLEY CHAPEL, FL 335446400

    Phone: (813) 907-0430

    Fax: (813) 907-0963

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210428000832IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

Does CHANTEL NICOLE YEARWOOD (PT) have a public NPI I can cite?
Public records show CHANTEL NICOLE YEARWOOD (PT) under NPI 1770099517.
Does the public listing show CHANTEL NICOLE YEARWOOD (PT) as active?
CHANTEL NICOLE YEARWOOD (PT)'s NPI record reflects an active status in NPPES.
How should patients interpret CHANTEL NICOLE YEARWOOD (PT)'s specialty?
The extract shows Orthopedic Physical Therapist for CHANTEL NICOLE YEARWOOD (PT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHANTEL NICOLE YEARWOOD (PT)?
CHANTEL NICOLE YEARWOOD (PT) is associated with Tampa, Florida in the same public data insurers reference.
Can I export CHANTEL NICOLE YEARWOOD (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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