NPI 1023953080

Donavan Anthony Roman

Practitioner Physical Therapy Assistant Champaign, IL

Practice location

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

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160.010625 (IL)

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Registry record

NPI: 1023953080
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2026
Record last updated: 23 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.