Provider Demographics
NPI:1114042900
Name:CHOPPA, CAROLINE SELEE (PT)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:SELEE
Last Name:CHOPPA
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4506 CHOCTAW CIR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-1012
Mailing Address - Country:US
Mailing Address - Phone:703-975-2709
Mailing Address - Fax:
Practice Address - Street 1:2225 DRAKE AVE SW STE 4
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-5126
Practice Address - Country:US
Practice Address - Phone:703-975-2709
Practice Address - Fax:256-489-1450
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA017219H84Medicare ID - Type UnspecifiedPHYSICAL THERAPY