Individual provider Active NPI

Christopher M Cabral, PT, DPT

  • Physical Therapist
  • Crystal City, MO
National Provider Identifier
1063167401
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2022004141 Issued in MO
Practice address
2308 N Truman Blvd
Crystal City, MO 63019-1037
Phone
(636) 206-6070
Fax
(833) 579-2992
NPI assigned
Feb 15, 2022
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 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 2022004141 MO Primary

Addresses

Primary practice location

2308 N Truman Blvd
Crystal City, MO 63019-1037

Mailing address

60 Plaza Dr
Sainte Genevieve, MO 63670-1800
Phone (573) 608-5058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216000869 MO Practitioner - Physical Therapist in Private Practice 8426441429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potential Therapy Services LLCGroup PAC ID 5890065361, 12 clinicians

Practice addresses (Care Compare)

60 Plaza Dr
Ste Genevieve, MO 63670-1800
Phone (573) 608-5058

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients
Potential Therapy Services LLC CurrentSince Mar 1, 2024 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

3950 Vogel Rd
Arnold, MO 63010
Phone (636) 461-0900

55 Nesbit Dr
Bonne Terre, MO 63628
Phone (573) 358-1700

2308 N Truman Blvd
Crystal City, MO 63019
Phone (636) 206-6070

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

60 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 608-5058

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

Interoperability endpoints

  • Direct secure messaging: christopher.cabral.p2@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1063167401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PLAZA DR",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701800",
            "telephone_number": "573-608-5058",
            "fax_number": "844-912-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 N TRUMAN BLVD",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191037",
            "telephone_number": "636-206-6070",
            "fax_number": "833-579-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022004141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal City, MO

Sources for this page

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