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

Mr. Trairud-Jack Watanachaiyot, DPT

Individual provider Physical Therapist · NPI 1811328461

Mr. Trairud-Jack Watanachaiyot, DPT is a Physical Therapist in Western Springs, Illinois. Licensed in Illinois and New York. Registered with an NPI since 2013.

Licensed in
IL, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

4700 Gilbert Ave Ste 43A
Western Springs, IL 60558-1670
Phone: (708) 783-1044
Fax: (708) 783-1048
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-025183 (IL)
Physical Therapist Taxonomy 225100000X · Licence 29013 (NY)

Record details

NPI number1811328461
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 9, 2013
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

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