Chad Alva Powell, DPT
Individual provider Active NPI Physical Therapist · Hermann, MO
NPI 1972851632 · NPPES record last updated Aug 28, 2012
Key facts
- NPI
- 1972851632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2012027761 (MO)
- Practice address
- 2064 Village LN
Hermann, MO 65041-1592 - Phone
- (573) 486-1600
- Fax
- (573) 486-1605
- NPI assigned
- Aug 28, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012027761 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Outreach, L.L.C. | Past | Accepting new patients | |
| Rehab Outreach, L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2012027761 | MO | Yes |
Addresses
Primary practice location
2064 Village LN
Hermann, MO 65041-1592
Mailing address
310 Miller St
Montgomery City, MO 63361-2008
Phone (573) 253-1633
Other providers in Hermann, MO
- Brenna Panhorst
- Patients First Health Care LLC
- Patients First Health Care LLC
- Eric Ryan Penton
- Pharmax HM, LLC
- Rehab Outreach, L.L.C.
- Kathryn Ruhmann
- Amy Marie Sanders
- Joesph Thomas Schebaum
- Angela Dawn Sherrow
All providers in Hermann, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.