Individual provider Active NPI

Chance Hensley, PTA

  • Specialist
  • Paris, TX
National Provider Identifier
1821407586
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2100265 Issued in TX
Practice address
3195 Lamar Ave
Paris, TX 75460-5019
Phone
(918) 649-4221
NPI assigned
Aug 7, 2014
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2100265 TX Primary

Addresses

Primary practice location

3195 Lamar Ave
Paris, TX 75460-5019

Mailing address

3195 Lamar Ave
Paris, TX 75460-5019
Phone (918) 649-4221

Other practice location 1

1675 NE Loop 286
Paris, TX 75460-2219
Phone (916) 782-9922

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

LicenseStateTypeSpecialty
2100265TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hensley Physical Therapy, LLC Current Accepting new patients
Xzact Therapy and Aquatics LLC PastSince Apr 1, 2014 Accepting new patients

Locations

3195 Lamar Ave
Paris, TX 75460
Phone (903) 669-3051

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1821407586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605019",
            "telephone_number": "918-649-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605019",
            "telephone_number": "918-649-4221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 NE Loop 286",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754602219",
            "country_code": "US",
            "telephone_number": "916-782-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "CHANCE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "2100265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.