Individual provider Active NPI

Christopher Sakala, P.T.

  • Physical Therapist
  • Mt Pleasant, MI
National Provider Identifier
1043387038
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006733 Issued in MI
Practice address
314 S Brown St
Mt Pleasant, MI 48858-2936
Phone
(989) 772-6049
Fax
(989) 772-6183
NPI assigned
Nov 29, 2006
Reactivated
Jan 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501006733 MI Primary

Addresses

Primary practice location

314 S Brown St
Mt Pleasant, MI 48858-2936

Mailing address

3901 Bay Rd
Saginaw, MI 48603-2438
Phone (894) 015-2869

Other practice location 1

401 E Huron Rd
Au Gres, MI 48703-9356
Phone (989) 254-6360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000491 MI Practitioner - Physical Therapist in Private Practice 5496744849 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Physical Therapy, LLC Physical Therapist CurrentSince Feb 18, 2022 Accepting new patients
Community Rehabilitation Services,PC PastSince Jul 15, 2015 Accepting new patients
Mymichigan Medical Center Midland PastSince Sep 11, 2023 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1043387038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032438",
            "telephone_number": "894-015-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S BROWN ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582936",
            "telephone_number": "989-772-6049",
            "fax_number": "989-772-6183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Huron Rd",
            "address_purpose": "LOCATION",
            "city": "Au Gres",
            "state": "MI",
            "postal_code": "487039356",
            "country_code": "US",
            "telephone_number": "989-254-6360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKALA",
        "first_name": "CHRISTOPHER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "deactivation_date": "2019-01-17",
        "reactivation_date": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.