Dr. Chelsea Broekstra Bienvenu, DPT
Physical Therapist in Yokosuka Shi, KANAGAWA. Individual provider (NPI-1).
NPI number1154063147
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1154063147
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chelsea Broekstra Bienvenu
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2022
- Certification date
- Apr 10, 2022
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 08376 | LA | Yes |
Practice location
1 Banchi TomarichoSakura Heights #92
Yokosuka Shi, KANAGAWA 2380001
Jamaica
Phone 504-400-4195
Mailing address
Psc 473 Box 2195Fpo, AP 96349-0022
Phone 504-400-4195
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