Christian David Lament, DPT
Individual provider Active NPI Physical Therapist · Anna, OH
NPI 1003344227 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1003344227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT016952 (OH)
- Practice address
- 515 E Main St Ste D
Anna, OH 45302-9440 - Phone
- (937) 639-2063
- Fax
- (937) 639-2065
- NPI assigned
- Jun 1, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Xcel Physical Therapy LLC
Practice addresses (Care Compare)
830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone (937) 890-9235
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170616002478 | OH | Practitioner - Physical Therapist in Private Practice | 0941578819 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016952 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xcel Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
515 E Main St
Ste D
Anna, OH 45302
Phone (937) 639-2063
3916 Indian Ripple Rd
Ste 150
Dayton, OH 45440
Phone (937) 702-9735
830 Falls Creek Dr
Vandalia, OH 45377
Phone (937) 890-9235
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016952 | OH | Yes |
Addresses
Primary practice location
515 E Main St Ste D
Anna, OH 45302-9440
Mailing address
830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone (937) 890-9235
Other practice location 1
830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone (937) 890-9235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT016952 | Other | OH | PT LICENSE |
Other providers in Anna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.