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

Donavan Anthony Roman

Individual provider Physical Therapy Assistant · NPI 1023953080

Donavan Anthony Roman is a Physical Therapy Assistant in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

2110 Fox Dr Ste D
Champaign, IL 61820-7553
Phone: (217) 398-9800
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 160.010625 (IL)

Record details

NPI number1023953080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address2110 Fox Dr Ste D, Champaign, IL 61820-7553

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