BRYAN CHAC DPT
NPI 1790518488
Physical Therapist in O Fallon, MO

Active since August 20, 2024Accepts Medicare Assignment
4273 KEATON CROSSING BLVD, O FALLON, MO 63368(636) 206-6540 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bryan Chac Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN CHAC DPT (NPI 1790518488) is an individual physical therapist in O Fallon, Missouri, licensed in Missouri (2024033430) and active in the NPI registry since August 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1790518488
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRYAN CHACCredential: DPT
Location Address4273 KEATON CROSSING BLVDO Fallon, MO 63368-8220
Mailing Address647 Spirit Airpark West Dr Ste 101Chesterfield, MO 63005-1032 · (636) 223-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1790518488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MO · 2024033430
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4273 KEATON CROSSING BLVD, O Fallon, MO 63368

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Chac Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729527981
PECOS Enrollment IDI20240831000480

Medicare Billing Reassignments

2

Medicare enrollment records show Bryan Chac reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
4273 KEATON CROSSING BLVD
O Fallon, MO 63368
  • Reassigned Medicare billing, Missouri enrollment
  • 142 clinicians in this Medicare group
Physical Therapy
2018 PHOENIX CENTER DR
Washington, MO 63090
  • Reassigned Medicare billing, Missouri enrollment
  • 138 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
4273 KEATON CROSSING BLVD
O FALLON, MO 63368
Physical Therapist
4273 KEATON CROSSING BLVD
O FALLON, MO 63368
Physical Therapist
4273 KEATON CROSSING BLVD
O FALLON, MO 63368
Physical Therapist (Orthopedic)
4273 KEATON CROSSING BLVD
OFALLON, MO 63368
Physical Therapist
4273 KEATON CROSSING BLVD
O FALLON, MO 63368
Physical Therapist
4273 KEATON CROSSING BLVD
O FALLON, MO 63368
Physical Therapist
4273 KEATON CROSSING BLVD
O FALLON, MO 63368
Physical Therapist
4273 KEATON CROSSING BLVD
O FALLON, MO 63368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Chac's NPI number?

The NPI number for Bryan Chac is 1790518488. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Bryan Chac located?

Bryan Chac practices at 4273 Keaton Crossing Blvd, O Fallon, MO 63368. The listed phone number is (636) 206-6540.

What is Bryan Chac's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Bryan Chac enrolled in Medicare?

Yes. Bryan Chac is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bryan Chac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Chac reassigns Medicare benefits to 2 organizations: Axes Physical Therapy, LLC (O Fallon, MO) and Axes Physical Therapy I, LLC (Washington, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Chac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bryan Chac was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.