Active NPI
Christopher Clukies, DPT
- Physical Therapist
- San Francisco, CA
National Provider Identifier
1114322641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41829
- Practice address
- 4200 18TH St
Suite 102
San Francisco, CA 94114-2470 - Phone
- (415) 626-1929
- NPI assigned
- Oct 27, 2014
- 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 | 41829 | CA | Primary |
Addresses
Primary practice location
4200 18TH St
Suite 102
San Francisco, CA 94114-2470
Mailing address
3232 21St St Apt 2
San Francisco, CA 94110-2436
Phone (415) 350-8590
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41829 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1114322641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 21ST ST APT 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102436",
"telephone_number": "415-350-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 18TH ST",
"address_2": "SUITE 102",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142470",
"telephone_number": "415-626-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUKIES",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.