Chase Harrison Louthan, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.004591 Issued in IL

Practice address

407 N Condit St
Tolono, IL 61880-9014

Phone

(217) 254-7283

NPI assigned

Jan 24, 2023

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2023.

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1902512932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N CONDIT ST",
            "city": "TOLONO",
            "state": "IL",
            "postal_code": "618809014",
            "telephone_number": "217-254-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N CONDIT ST",
            "city": "TOLONO",
            "state": "IL",
            "postal_code": "618809014",
            "telephone_number": "217-254-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUTHAN",
        "first_name": "CHASE",
        "middle_name": "HARRISON",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.004591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "louthan.chase@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "407 N Condit St",
            "city": "Tolono",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618809014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Tolono, IL
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.