CHAD M HATAYAMA (P.T.) – Physical Therapist, NPI 1639424203

CHAD M HATAYAMA (P.T.) is a healthcare provider. based in Mt zion, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 070011630 (IL). The NPI Number for CHAD M HATAYAMA (P.T.) is 1639424203

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
CHAD M HATAYAMA (P.T.)
NPI
1639424203
Phone
Not provided
Address
10 MORNING GLORY CT
Enumeration Date
19 July 2012
Last Update Date
19 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178642085
Graduation Year
1995 (31 years ago)
PAC ID
1759605462
Group Practice PAC ID
3779807482
Professional Enrollment ID
I20150305002268
Address ID
IL625358807FO849XX51XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for CHAD M HATAYAMA (P.T.)

  • 10 MORNING GLORY CT

    MT ZION, IL 625499705

    Phone:

    Type: Mailing

  • 2300 N EDWARD ST

    DECATUR, IL 625264163

    Phone: (217) 876-8121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150305002268IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,27560$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,21566$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,02163$0
97161Evaluation for physical therapy, typically 20 minutes5651$0
View full utilization report →

Insurance plans in this area (ZIP 62549)

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Provider's Procedures

CHAD M HATAYAMA (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97001Physical therapy evaluation3230
PHYSICAL THERAPYIL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes26736

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779807482View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to CHAD M HATAYAMA (P.T.)?
NPI 1639424203 is assigned to CHAD M HATAYAMA (P.T.) under the national enumeration system.
Is CHAD M HATAYAMA (P.T.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CHAD M HATAYAMA (P.T.) work in?
You can think of CHAD M HATAYAMA (P.T.) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is CHAD M HATAYAMA (P.T.)'s primary listing?
We display Mt Zion, Illinois because that is what the record indicates for CHAD M HATAYAMA (P.T.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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