Christopher David Gellert, PT, MMUSCSPORTS CSCS
Individual provider Active NPI Orthopedic Physical Therapist · Bourne, MA
NPI 1053486282 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1053486282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 20094 (MA)
- Practice address
- 123 Waterhouse Rd
Bourne, MA 02532-3890 - Phone
- (508) 743-7215
- Fax
- (774) 247-4397
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thrive Wellness LLC
Practice addresses (Care Compare)
236 Cranview Rd
Brewster, MA 02631-2237
Phone (443) 528-0527
900 Route 134
Suite 1 2
South Dennis, MA 02660-2573
Phone (774) 476-0240
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121031000017 | MA | Practitioner - Physical Therapist in Private Practice | 4880792829 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20724 | MD | MD | Pharmacist |
| 20094 | MA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proex Physical Therapy, LLC | Current |
Accepting new patients | |
| Dion Physical Therapy | Current |
Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Current |
Accepting new patients | |
| Proex Physical Therapy, LLC | Orthopedic | Current |
Accepting new patients |
| Thrive Wellness LLC | Orthopedic | Current |
Accepting new patients |
| Physical Therapy 2 Go, LLC | Orthopedic | Current |
Accepting new patients |
| Physical Therapy Center, Inc | Orthopedic | Past |
Accepting new patients |
Locations
10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999
123 Waterhouse Rd
Ste 204
Bourne, MA 02532
Phone (508) 743-7215
1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525
1600 Falmouth Rd
Ste 34
Centerville, MA 02632
Phone (508) 775-0060
4263 N Main St
Ste 6
Fall River, MA 02720
Phone (508) 245-2508
900 Route 134
Ste 1-2
South Dennis, MA 02660
Phone (508) 385-1900
576 Broadhollow Rd
Melville, NY 11747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 20094 | MA | Yes |
Addresses
Primary practice location
123 Waterhouse Rd
Bourne, MA 02532-3890
Mailing address
168 Industrial Dr
Mashpee, MA 02649-3561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021490E71 | Other | MA | MEDICARE INDIVIDUAL PTAN |
Other providers in Bourne, MA
- Michael Flynn
- Marcia L Franklin
- Rachel Freedman
- Adam Derek Friedman
- Cheryl Garrity
- Johanna Ghossein
- Meredith Paige Gilson
- Jeffrey Joseph Glavin
- Carey Lynne Gould
- Hannah Mary Grassi
All providers in Bourne, MA · Orthopedic Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.