Patrick Dovichi, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160004210 Issued in IL

Practice address

4021 W Belmont Ave
Chicago, IL 60641-4771

Phone

(773) 328-5500

NPI assigned

Feb 9, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1235883208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ERIE ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225520",
            "telephone_number": "312-933-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414771",
            "telephone_number": "773-328-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVICHI",
        "first_name": "PATRICK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160004210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrick.dovichi@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4021 W Belmont Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606414771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Henry W. Dove
• Arielle Dover, APRN
• Jasmin Dover
• Lavinia Archranell Dover, M.ED.
• Dovetail Psychotherapy and Wellness PLLC
• Kevin D Dow, D.D.S
• McCambridge Dowd-Whipple
• Alison Dowd
• Chelsea Louis Dowd
• Jonathan Dowd, MD

• Physical Therapy Assistant in Chicago, IL
• Providers in Chicago, 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 Feb 9, 2022; 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.