Individual provider Active NPI

Christopher D Carter, PT

  • Orthopedic Physical Therapist
  • Paris, TX
National Provider Identifier
1033159777
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1078376 Issued in TX
Practice address
4005 Lamar Avenue
Paris, TX 75462
Phone
(903) 785-3861
Fax
(903) 739-8768
NPI assigned
Jun 8, 2006
Last updated
Jul 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1078376 TX
Ergonomics Physical Therapist 2251E1200X 1078376 TX
Sports Physical Therapist 2251S0007X 1078376 TX
Orthopedic Physical Therapist 2251X0800X 1078376 TX Primary

Addresses

Primary practice location

4005 Lamar Avenue
Paris, TX 75462

Mailing address

4005 Lamar Avenue
Paris, TX 75462
Phone (903) 785-3861

Other identifiers 5

IdentifierTypeStateIssuer
058540801MedicaidTX
7223458OtherAETNA PROVIDER NUMBER
80810TOtherTXBCBS PROVIDER NUMBER
120488OtherSUPERIOR PROVIDER NUMBER
100836070AMedicaidOK

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1078376TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Clinic of Paris, LP Orthopedic PastSince Jul 16, 2023 Accepting new patients
Physical Therapy Clinic of Paris LP Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437177600000",
    "number": "1033159777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 LAMAR AVENUE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75462",
            "telephone_number": "903-785-3861",
            "fax_number": "903-739-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 LAMAR AVENUE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75462",
            "telephone_number": "903-785-3861",
            "fax_number": "903-739-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1078376",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "TX",
            "license": "1078376",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1078376",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1078376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058540801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7223458",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "80810T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR PROVIDER NUMBER",
            "identifier": "120488",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100836070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.