Individual provider Active NPI

Chad Anthony Seahorn, P.T.

  • Physical Therapist
  • Carbondale, CO
National Provider Identifier
1831149939
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 6868 Issued in CO
Practice address
868 Melissa LN
Carbondale, CO 81623-2819
Phone
(720) 218-2731
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 6868 CO Primary

Addresses

Primary practice location

868 Melissa LN
Carbondale, CO 81623-2819

Mailing address

PO Box 1012
Carbondale, CO 81623-1012
Phone (720) 218-2731

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 6868COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Compass LLC CurrentSince Jun 22, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1831149939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231012",
            "telephone_number": "720-218-2731",
            "fax_number": "719-347-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 MELISSA LN",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232819",
            "telephone_number": "720-218-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAHORN",
        "first_name": "CHAD",
        "middle_name": "ANTHONY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT 6868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.