Active NPI
Chrysta Pantohan, PTA
- Physical Therapy Assistant
- Colorado Springs, CO
National Provider Identifier
1144608464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- P160544938
- Practice address
- 8540 Scarborough Dr
Suite 200
Colorado Springs, CO 80920-7502 - Phone
- (719) 314-2308
- NPI assigned
- May 7, 2015
- Sex
- Female
- 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 Therapy Assistant | 225200000X | P160544938 | WA | Primary |
Addresses
Primary practice location
8540 Scarborough Dr
Suite 200
Colorado Springs, CO 80920-7502
Mailing address
5025 164TH St SW
Edmonds, WA 98026-4804
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 |
|---|---|---|---|
| P160544938 | WA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1144608464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 164TH ST SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980264804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8540 SCARBOROUGH DR",
"address_2": "SUITE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207502",
"telephone_number": "719-314-2308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTOHAN",
"first_name": "CHRYSTA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P160544938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Panorama Orthopedics & Spine Center, PC (Orthopedic Rehabilitation Associates)
- Panorama Orthopedics & Spine Center, PC (Orthopedic Rehabilitation Associates)
- Cameron William Panos, LMT
- Lisa Pantano, M.C., L.P.C.
- Michelle Pantle
- Maria Alicia Pantoja Garcia
- Sydney Pantoja
- Angela Noelle Pantoya, RBT
- My Hao Pantuso, PH.D.
- Devin Wang Pao, PA-C, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.