Chad Patrick Hennessey, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT2295 Issued in TX

Practice address

2211 N Austin Ave
Georgetown, TX 78626-4514

Phone

(512) 943-5000

Fax

(512) 943-5125

NPI assigned

May 12, 2020

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

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1629690771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 WOOD MESA DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651254",
            "telephone_number": "512-677-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 N AUSTIN AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264514",
            "telephone_number": "512-943-5000",
            "fax_number": "512-943-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "CHAD",
        "middle_name": "PATRICK",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore N Held, M.D.
• John William Hellerstedt
• Holly C Helms, MD
• Michael Dwayne Henderson, M.D.
• Kennedy Hendley
• David R Hennington, DDS
• Kayla R Henry
• Jennifer Anne Hensley, FNP-C
• Meghan Heras
• Leticia Hernandez

• Athletic Trainer in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.