Active NPI
Christopher Duncan, PT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1104030501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7987
- Practice address
- 3681 W Waters Ave
Tampa, FL 33614-2783 - Phone
- (813) 990-8880
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PT7987 | FL | Primary |
Addresses
Primary practice location
3681 W Waters Ave
Tampa, FL 33614-2783
Mailing address
3906 Crosstree LN
Valrico, FL 33594-6487
Phone (813) 892-0802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7987 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104030501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3906 CROSSTREE LN",
"city": "VALRICO",
"state": "FL",
"postal_code": "335946487",
"telephone_number": "813-892-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3681 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142783",
"telephone_number": "813-990-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "CHRISTOPHER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.