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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHADDRICK POLK, PT, OTA

Active Sole Proprietor

CHADDRICK POLK, PT, OTA is a Physical Therapy Assistant healthcare provider located in PROSPER, Texas. NPI 1003286972 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PROSPER, TX

Registration Details

NPI Number
1003286972
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2015 (10.875594961462 yrs)
Last Updated
Jan 10, 2025
Licenses
213531 (TX)
1309289 (TX)
Sole Proprietor
Yes

Practice Information

Address
4261 E UNIVERSITY DR STE 30-165
PROSPER, TX, 75078
Browse TX providers · Browse ZIP 75078
Phone
9723479604
Fax
9724992527
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in PROSPER, TX

Name Credential NPI
JOSEPH KENDRICK EDWARDS PT 1376570937
TENESHA H EDWARDS PT 1871522391
KRISTIN M. DUCKWORTH P.T. 1104845221
CATHERINE A COX P.T. 1578649158
TIFFANY BOULWARE DPT 1407925746
LEAH MICHELLE THOMPSON PT 1356489298
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.