Individual provider Active NPI

Chad Wilson

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1053098384
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP032589T Issued in CO
Practice address
10027 W Remington Ave
Littleton, CO 80127-6421
Phone
(720) 922-7553
NPI assigned
Jun 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP032589T CO Primary
Physical Therapist 225100000X SC
Physical Therapist 225100000X

Addresses

Primary practice location

10027 W Remington Ave
Littleton, CO 80127-6421

Mailing address

1306 N Milam St
Fredericksburg, TX 78624-2741
Phone (913) 907-6670

Other practice location 1

1306 N Milam St
Fredericksburg, TX 78624-2741
Phone (913) 907-6670

Other practice location 2

2 Doctors Dr
Greenville, SC 29605-4265
Phone (864) 558-8955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, SC, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230804000919 MD Practitioner - Physical Therapist in Private Practice 7810358926 Reassigns benefits to 2 organizations
I20240515004530 SC Practitioner - Physical Therapist in Private Practice 7810358926 Reassigns benefits to 1 organization
I20250225003008 WA Practitioner - Physical Therapist in Private Practice 7810358926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

16222 Meridian E
Suite 101
Puyallup, WA 98375-6332
Phone (253) 864-7595

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12190SCMDPharmacist
CP032589TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Jan 29, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 20, 2023 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Feb 14, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Feb 14, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 20, 2023 Accepting new patients
Multicare Health System Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33205 Collection Ctr Dr
Chicago, IL 60693

1401 Merritt Blvd
Ste D
Dundalk, MD 21222
Phone (443) 530-9750

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

16222 Meridian E
Ste 101
Puyallup, WA 98375
Phone (253) 846-7595

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1053098384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 N MILAM ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786242741",
            "telephone_number": "913-907-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10027 W REMINGTON AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276421",
            "telephone_number": "720-922-7553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 N Milam St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "TX",
            "postal_code": "786242741",
            "country_code": "US",
            "telephone_number": "913-907-6670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054265",
            "country_code": "US",
            "telephone_number": "864-558-8955",
            "fax_number": "864-794-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP032589T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.