Chad Walters DO LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

03009 Issued in KY

Legal business name

CHAD WALTERS DO LLC

Doing business as

Neuro Rehab Specialists

Practice address

4400 Breckenridge LN
Ste 124
Louisville, KY 40218-4135

Phone

(502) 491-9590

Fax

(502) 491-9592

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Polly L Purcell, D.O.

Title

Partner

Phone

(502) 491-9590

Specialties & licenses 1

Addresses

Other names 1

• Neuro Rehab Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6336/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chadwick A Walters, DO

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
  • NPI 1639385412
  Medicare reassignment NPD

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758931200000",
    "number": "1154684785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BRECKENRIDGE LN STE 124",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184136",
            "telephone_number": "502-491-9590",
            "fax_number": "502-491-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BRECKENRIDGE LN",
            "address_2": "STE 124",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184135",
            "telephone_number": "502-491-9590",
            "fax_number": "502-491-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD WALTERS DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "502-491-9590",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "03009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Rehab Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cha HMO, Inc.
• Yong Cha, MD, PHD
• Jignesh Chabhadiya
• Angela Chachere
• Chachos Helping Hands
• Revanth Chada, DDS
• Naga Chadalapaka, MD
• Jenna Chady
• Marlon R Chagua, M.D.
• Chaimllc

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.