Christopher John Petrie, A.P.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

A.P.2175 Issued in FL

Practice address

2201 NE 66TH St
#1305
Fort Lauderdale, FL 33308-1234

Phone

(954) 415-7309

NPI assigned

Aug 15, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Life Tempo Acupuncture

  • Acupuncturist
  • Fort Lauderdale, FL
  • NPI 1750136859
  NPD

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1083806947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NE 66TH ST",
            "address_2": "#1305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081234",
            "telephone_number": "954-415-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NE 66TH ST",
            "address_2": "#1305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081234",
            "telephone_number": "954-415-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "A.P.2175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Petillo, M.D.
• Shelene Petit Frere, RBT
• Brenda Petit
• Robin C Petit, MSN, ARNP
• Vanessa S Petit, APRN
• Samantha Shoshana Petrillo, AGACNP-BC
• Jerome J Petrisko, DMD
• Danielle Petrucelli, CCC-SLP
• Diana Michelle Petruk, PA-C
• Mariel Petruk, DDS

• Acupuncturist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.