Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chadd David Black, LPTA

Individual provider Physical Therapy Assistant · NPI 1326680109

Chadd David Black, LPTA is a Physical Therapy Assistant in Verona, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019

Practice location Address checks out

1049 N Edge Trl
Verona, WI 53593-1942
Phone: (608) 845-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 520-19 (WI)

Record details

NPI number1326680109
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedOctober 13, 2019
Last updated in NPPESOctober 13, 2019
Mailing address4711 Eisenhower St, Oregon, WI 53575-2817

Other providers in Verona