Individual provider Active NPI

Christopher D Brozena, DPT

  • Physical Therapist
  • Scranton, PA
National Provider Identifier
1083064752
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025207 Issued in PA
Practice address
2010 Adams Ave
Scranton, PA 18509-1508
Phone
(570) 963-1278
Fax
(570) 963-1292
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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 PT025207 PA Primary

Addresses

Primary practice location

2010 Adams Ave
Scranton, PA 18509-1508

Mailing address

2010 Adams Ave
Scranton, PA 18509-1508
Phone (570) 963-1278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160812000271 PA Practitioner - Physical Therapist in Private Practice 0244524320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph'S CenterGroup PAC ID 2668527912, 3 clinicians

Practice addresses (Care Compare)

2010 Adams Ave
Scranton, PA 18509-1508
Phone (570) 963-1278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Center Physical Therapist CurrentSince Jun 13, 2016 Accepting new patients
St. Joseph'S Center PastSince Jun 13, 2016 Accepting new patients

Locations

2010 Adams Ave
Scranton, PA 18509
Phone (570) 342-8379

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1083064752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091508",
            "telephone_number": "570-963-1278",
            "fax_number": "570-963-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091508",
            "telephone_number": "570-963-1278",
            "fax_number": "570-963-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZENA",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.