MEDICARE: DONOVAN CAUFIELD PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	115373	IA

General Provider Information

NPI Number	:	1801655642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONOVAN CAUFIELD PT, DPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 S MADISON ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-3841
Country	:	US
Telephone Number	:	319-248-0373
Fax Number	:	319-569-8238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2024
Last Update Date	:	02/04/2025

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