Christian Thornton

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

463155 State Road 200
Yulee, FL 32097-5506

Phone

(904) 901-9099

NPI assigned

Mar 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kenai Kids Therapy Inc

  • Physical Therapist
  • Kenai, AK
  • NPI 1780711846
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1043805476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S 7TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343927",
            "telephone_number": "904-415-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463155 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975506",
            "telephone_number": "904-901-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Merrick Taylor
• Shannon C Taylor, OTD, OTR/L
• Thomas Britt Taylor, M. D.
• Amy Thomas, MASSAGE THERAPIST
• Christy Thompson
• Candece G Tierney, MA
• Brooke Timblin-Apgar, OTR/L
• Elisha Tomasko
• Brian Toupin, M.D.
• Geovanna Towers, MS SLP CCC

• Speech-Language Pathologist in Yulee, FL
• Providers in Yulee, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.