Active NPI
Chloe Channing Davis, PT, DPT, LAT, ATC
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1104484302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36003625A
- Practice address
- 125 S Pennsylvania St
Indianapolis, IN 46204-3610 - Phone
- (317) 917-2500
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36003625A | IN | Primary |
| Physical Therapist | 225100000X | 05016182A | IN |
Addresses
Primary practice location
125 S Pennsylvania St
Indianapolis, IN 46204-3610
Mailing address
13873 Coach Circle Dr
Granger, IN 46530-4807
Phone (574) 276-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05016182A | IN | MD | Physical Therapist |
| 36003625A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1104484302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13873 COACH CIRCLE DR",
"city": "GRANGER",
"state": "IN",
"postal_code": "465304807",
"telephone_number": "574-276-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S PENNSYLVANIA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462043610",
"telephone_number": "317-917-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHLOE",
"middle_name": "CHANNING",
"credential": "PT, DPT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36003625A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05016182A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.