Active NPI
Christopher Douglas Fuson, PT, DPT, ATC
- Physical Therapist
- London, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005680
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT005680 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Pros, Inc. | Physical Therapist | Current | Accepting new patients |
| PT Pros, Inc. | Physical Therapist | Current | Accepting new patients |
| PT Pros, Inc. | Physical Therapist | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Trinity Family Health Inc | Federally qualified health center | Corporate Director | May 1, 2023 |
| Trinity Family Health Inc | 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.
-
- Federally Qualified Health Center (FQHC)
- Corbin, KY
- NPI 1508640038
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Corbin, KY
- NPI 1992589741
Corporate Director
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.
-
- Physical Therapist
- Elizabethtown, KY
- NPI 1376088799
-
- Physical Therapist
- Williamsburg, KY
- NPI 1467061721
-
- Physical Therapist
- Lafayette, LA
- NPI 1164153839
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.