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

Connie Chan, DPT

Individual provider Physical Therapist · NPI 1720622400

Connie Chan, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
7
Licensed in
CA, IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2820 W Armitage Ave Ste 1
Chicago, IL 60647-6318
Phone: (773) 394-0796
Fax: (773) 394-3342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-026568 (IL)
Physical Therapist Taxonomy 225100000X · Licence 297517 (CA)

Record details

NPI number1720622400
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 5, 2019
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022
Mailing address6030 Martin Luther King Jr Way, Oakland, CA 94609-1410

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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