Brandon Christie, PT
Individual provider Active NPI Physical Therapist · Gilbert, AZ
NPI 1063159341 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1063159341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- LPT-31838 (AZ)
- Practice address
- 5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490 - Phone
- (480) 272-7797
- NPI assigned
- May 17, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Recovia Physical Therapy LLC
Practice addresses (Care Compare)
2411 W Northern Ave
Suite 201
Phoenix, AZ 85021-4874
Phone (480) 712-4600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260429003275 | AZ | Practitioner - Physical Therapist in Private Practice | 9133696941 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31838 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovia LLC | Past | Accepting new patients | |
| Roc Physical Therapy, PLLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-31838 | AZ | Yes |
Addresses
Primary practice location
5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490
Mailing address
5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490
Phone (480) 272-7797
Other providers in Gilbert, AZ
- M. Todd Christensen
- Michael Thayer Christensen
- Erika Christian
- Donald Richard Christiansen
- Haley Christiansen
- Christina'S Care LLC
- Erica Christmas
- Theresa Chu
- Ashley Chung
- Jae Woo Chung
All providers in Gilbert, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. 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.