Individual provider Active NPI

Christopher Fawzy, PT, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1053948463
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35653 Issued in FL
Practice address
8819 Tamiami TRL E
Naples, FL 34113-3347
Phone
(239) 284-1404
Fax
(239) 249-6795
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 PT35653 FL Primary

Addresses

Primary practice location

8819 Tamiami TRL E
Naples, FL 34113-3347

Mailing address

8651 Addison Place Cir Unit 113
Naples, FL 34119-7852
Phone (732) 744-6840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200407002757 FL Practitioner - Physical Therapist in Private Practice 6608205943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fawzy LLCGroup PAC ID 7719366012, 2 clinicians

Practice addresses (Care Compare)

8819 Tamiami TRL E
Naples, FL 34113-3347
Phone (239) 284-1404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35653FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fawzy LLC Physical Therapist CurrentSince Apr 15, 2022 Accepting new patients
Concepts in Rehab Inc PastSince Mar 1, 2020 Accepting new patients

Locations

8819 Tamiami Trl E
Naples, FL 34113
Phone (239) 284-1404

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1053948463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 ADDISON PLACE CIR UNIT 113",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197852",
            "telephone_number": "732-744-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341133347",
            "telephone_number": "239-284-1404",
            "fax_number": "239-249-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWZY",
        "first_name": "CHRISTOPHER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-02-14",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.