Olivier Henri Chassin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11432 Issued in NC

Practice address

10560 Ligon Mill Rd
Suite 109
Wake Forest, NC 27587-6090

Phone

(919) 556-4678

Fax

(919) 556-4619

NPI assigned

Jan 9, 2008

Last updated

Mar 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Physical Therapy Associates LLCGroup PAC ID 7315094463, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Orthopedic Physical Therapy Associates, LLC

  • Physical Therapist
  • Wake Forest, NC
  • NPI 1043465883
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1366627382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 LIGON MILL RD",
            "address_2": "SUITE 109",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-556-4678",
            "fax_number": "919-556-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 LIGON MILL RD",
            "address_2": "SUITE 109",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-556-4678",
            "fax_number": "919-556-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASSIN",
        "first_name": "OLIVIER",
        "middle_name": "HENRI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "068YW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212336",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Marie Chandler, PTA
• Changing Communities
• Casandra Grace Chapman-Corey, FNP
• Kianna Lasha' Chapman
• Alison Green Charchar, ATR
• Mirelle Chateigne
• Omad Chaudhary
• Norma Patricia Chavez Yawn, LMFTA
• Albert Zihao Chen, DPT
• Hsiupei Chen, MD

• Physical Therapist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.