Individual provider Active NPI

Christopher Douglas Fuson, PT, DPT, ATC

  • Physical Therapist
  • London, KY
National Provider Identifier
1073814877
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005680 Issued in KY
Practice address
1690 Highway 192 W
London, KY 40741-1673
Phone
(606) 877-3231
Fax
(606) 877-3632
NPI assigned
Nov 10, 2010
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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 PT005680 KY Primary

Addresses

Primary practice location

1690 Highway 192 W
London, KY 40741-1673

Mailing address

383 Corbin Center Dr
Corbin, KY 40701-1895
Phone (606) 526-2934

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000018 KY Practitioner - Physical Therapist in Private Practice 8325237290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT005680KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Pros, Inc. Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
PT Pros, Inc. Physical Therapist Current Accepting new patients
PT Pros, Inc. Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients

Locations

383 Corbin Center Dr
Corbin, KY 40701
Phone (606) 526-2909

4031 N Dixie Hwy
Ste 104
Elizabethtown, KY 42701
Phone (270) 982-4776

1690 Highway 192 W
London, KY 40741
Phone (606) 877-3231

803 Meyers Baker Rd
Ste 120
London, KY 40741
Phone (606) 878-1219

109 N 3rd St
Williamsburg, KY 40769
Phone (606) 526-2911

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity Family Health IncCorbin, KY, CCN B01100 Federally qualified health center Corporate Director May 1, 2023
Trinity Family Health IncCorbin, KY, CCN B01101 Federally qualified health center Corporate Director May 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1073814877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CORBIN CENTER DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011895",
            "telephone_number": "606-526-2934",
            "fax_number": "606-526-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 HIGHWAY 192 W",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411673",
            "telephone_number": "606-877-3231",
            "fax_number": "606-877-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT005680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.