Active NPI
Christian Drummond
- Physical Therapist
- Coconut Creek, FL
National Provider Identifier
1104497098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37355
- Practice address
- 4242 NW 66TH Dr
Coconut Creek, FL 33073-2012 - Phone
- (954) 895-5656
- NPI assigned
- Jul 2, 2021
- 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 | PT37355 | FL | Primary |
Addresses
Primary practice location
4242 NW 66TH Dr
Coconut Creek, FL 33073-2012
Mailing address
4242 NW 66TH Dr
Coconut Creek, FL 33073-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gait Mechanics, Inc | Single Specialty | Current | Accepting new patients |
| Wheelchair Clinic Inc | Single Specialty | Current | Accepting new patients |
| Stride Therapy Solutions Inc | Physical Therapist | Past | Accepting new patients |
Locations
5252 S Tamiami Trl
Ste 16
Sarasota, FL 34231
Phone (801) 440-5592
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1104497098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4242 NW 66TH DR",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 NW 66TH DR",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732012",
"telephone_number": "954-895-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUMMOND",
"first_name": "CHRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-02",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.