Douglas Craig Christ, D.P.T.

Key facts

NPI

1154534519

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT 27512 (CA)

Practice address

2321 Court St
Redding, CA 96001-2527

Phone

(530) 242-8480

Fax

(530) 242-8485

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2012.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1154534519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012527",
            "telephone_number": "530-242-8480",
            "fax_number": "530-242-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012527",
            "telephone_number": "530-242-8480",
            "fax_number": "530-242-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRIST",
        "first_name": "DOUGLAS",
        "middle_name": "CRAIG",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 27512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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