Chad Davis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

806 Laraway Rd
#808
New Lenox, IL 60451-2694

Phone

(815) 462-8416

Fax

(815) 462-8425

NPI assigned

Dec 21, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athletic and Therapeutic Institute of Naperville, LLC

  • Physical Therapist
  • New Lenox, IL
  • NPI 1114003365
  NPD (past)
• Athletic and Therapeutic Institute of Naperville, LLC

  • Physical Therapist
  • New Lenox, IL
  • NPI 1942311535
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1003090309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CENTURION LN",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 LARAWAY RD",
            "address_2": "#808",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512694",
            "telephone_number": "815-462-8416",
            "fax_number": "815-462-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHAD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome T Daly, D.O.
• Steven J Dana, D.D.S.
• Tia Tanisha Danie, LSW
• Darren D Simpson DDS LTD
• Davis-Smith Mental Health Provider, LTD.
• Jessica Nichole Davis, LCPC
• Pamela Davis, LPC
• Deepak Bakane S.C.
• Daniele P. Degirolami, M.D.
• Degroot Foot & Ankle Clinic, PC

• Physical Therapy Assistant in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.