Active NPI
Christopher Michael Perry, PT
- Physical Therapist
- Canton, OH
National Provider Identifier
1023179520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 010432
- Practice address
- 4650 Hills and Dales Rd NW
Suite 100
Canton, OH 44708-1510 - Phone
- (330) 477-9720
- Fax
- (330) 458-4610
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 010432 | OH | Primary |
Addresses
Primary practice location
4650 Hills and Dales Rd NW
Suite 100
Canton, OH 44708-1510
Mailing address
4650 Hills and Dales Rd NW
Suite 100
Canton, OH 44708-1510
Phone (330) 477-9720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT - 010432 | Other | OH | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 010432 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1023179520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 HILLS AND DALES RD NW",
"address_2": "SUITE 100",
"city": "CANTON",
"state": "OH",
"postal_code": "447081510",
"telephone_number": "330-477-9720",
"fax_number": "330-458-4610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 HILLS AND DALES RD NW",
"address_2": "SUITE 100",
"city": "CANTON",
"state": "OH",
"postal_code": "447081510",
"telephone_number": "330-477-9720",
"fax_number": "330-458-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 010432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT - 010432",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.