DR. CHELSEA MICHELLE VANDIVER (DPT) – Physical Therapist, NPI 1164315610

DR. CHELSEA MICHELLE VANDIVER (DPT) is a healthcare provider. based in College station, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1406728 (TX). The NPI Number for DR. CHELSEA MICHELLE VANDIVER (DPT) is 1164315610

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHELSEA MICHELLE VANDIVER (DPT)
NPI
1164315610
Phone
(214) 500-9180
Address
4679 NORWOOD LN
Enumeration Date
2 June 2025
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9796902478
Graduation Year
2024 (2 years ago)
PAC ID
6002320132
Group Practice PAC ID
2163647991
Professional Enrollment ID
I20250709003499
Address ID
TX778458794CO1451XWXXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for DR. CHELSEA MICHELLE VANDIVER (DPT)

  • 4679 NORWOOD LN

    COLLEGE STATION, TX 778453229

    Phone: (214) 500-9180

    Type: Mailing

  • 1451 GREENS PRAIRIE RD W STE 100

    COLLEGE STATION, TX 778458794

    Phone: (979) 690-2478

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-07-09

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
I20250709003499IPhysical Therapist In Private PracticeTXTBD

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 77845)

Loading plans...

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: 2163647991View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for DR. CHELSEA MICHELLE VANDIVER (DPT) in U.S. healthcare records?
The official identifier for DR. CHELSEA MICHELLE VANDIVER (DPT) is NPI 1164315610.
Is DR. CHELSEA MICHELLE VANDIVER (DPT) still an active registrant?
DR. CHELSEA MICHELLE VANDIVER (DPT) carries an active NPI according to the public dataset.
What kind of doctor is DR. CHELSEA MICHELLE VANDIVER (DPT)?
DR. CHELSEA MICHELLE VANDIVER (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is DR. CHELSEA MICHELLE VANDIVER (DPT) registered?
Use College Station, Texas as the headline location for DR. CHELSEA MICHELLE VANDIVER (DPT) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

800 SCOTT AND WHITE DR
NPI: 1932179306
6235 KEATON LN
NPI: 1376516492

STEVEN PAVLISKA (PT)

Physical Therapist
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1194787853

DEBRA HANEL (PT)

Physical Therapist
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1356304612

KELLI D THORNTON (P.T.)

Physical Therapist
12845 FM 2154 RD
NPI: 1861438152

SCOTT A JOHNSON (P.T.)

Physical Therapist
PO BOX 950
NPI: 1831126028

AMANDA JO FELLERS (PT)

Physical Therapist
401, East Washington Avenue, Navasota, Grimes County, Texas, 77868, United States
NPI: 1447333257
1318, Memorial Drive, Bryan, Brazos County, Texas, 77802, United States
NPI: 1861577199
1600, University Drive East, College Station, Brazos County, Texas, 77840, United States
NPI: 1891870010