Christopher Michael Minnis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

294806 Issued in CA

Practice address

3600 Ocean Ranch Blvd
Oceanside, CA 92056-2669

Phone

(760) 696-3376

Fax

(877) 559-5308

NPI assigned

Jun 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Dieguito Orthopedic Medical Center P C

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1356433965

  Single Specialty

  Medicare reassignment NPD
• Water and Sports Physical Therapy, Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1699840934
  Medicare reassignment NPD
• La Jolla Spine Institute Medical Group, Inc.

  • Orthopaedic Surgery of the Spine Physician
  • San Diego, CA
  • NPI 1073677811

  Single Specialty

  NPD
• Water and Sports Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1588085625
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1043740749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 CHINQUAPIN AVE",
            "address_2": "UNIT 4",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92008",
            "telephone_number": "732-567-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OCEAN RANCH BLVD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562669",
            "telephone_number": "760-696-3376",
            "fax_number": "877-559-5308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Belmar Blvd",
            "address_purpose": "LOCATION",
            "city": "Wall",
            "state": "NJ",
            "postal_code": "077193948",
            "country_code": "US",
            "telephone_number": "732-681-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Belmar Blvd",
            "address_purpose": "LOCATION",
            "city": "Wall",
            "state": "NJ",
            "postal_code": "077193948",
            "country_code": "US",
            "telephone_number": "732-681-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "294806",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Minchin
• Mindful Behavioral Outpatient Discovering Your Self
• Mindset Speech Therapy Inc
• Laela J Minnich
• Michael David Minnich, DDS,MS, INC.
• Kira Lea Minot, RD
• Mira Costa Community College District
• Tina W Mirabella, LVN
• Golsar Mirabolfathi, PHARM.D
• Heather Ladawn Miramontes

• Physical Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.