Active NPI
Chad L Eaves, P.T.
- Physical Therapist
- Louisville, MS
National Provider Identifier
1699002063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3244
- Practice address
- 501 E Main St
501 East Main Street
Louisville, MS 39339-2737 - Phone
- (662) 773-3700
- Fax
- (662) 773-3727
- NPI assigned
- Nov 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3244 | MS | Primary |
Addresses
Primary practice location
501 E Main St
501 East Main Street
Louisville, MS 39339-2737
Mailing address
501 E Main St
501 East Main Street
Louisville, MS 39339-2737
Phone (662) 773-3700
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 |
|---|---|---|---|
| PT3244 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1699002063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E MAIN ST",
"address_2": "501 EAST MAIN STREET",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392737",
"telephone_number": "662-773-3700",
"fax_number": "662-773-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E MAIN ST",
"address_2": "501 EAST MAIN STREET",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392737",
"telephone_number": "662-773-3700",
"fax_number": "662-773-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAVES",
"first_name": "CHAD",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-05",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.