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

Mr. Charles V Chavez I, PTA

Individual provider Physical Therapy Assistant · NPI 1164279170

Mr. Charles V Chavez I, PTA is a Physical Therapy Assistant in Lacey, Washington. Licensed in Idaho and Oregon. Registered with an NPI since 2024.

Licensed in
ID, OR
In the registry since
2024
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4200 6th Ave SE
Lacey, WA 98503-1042
Phone: (800) 869-7062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4146 (ID)
Physical Therapy Assistant Taxonomy 225200000X · Licence 9255 (OR)

Record details

NPI number1164279170
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

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