Individual provider Active NPI

Christopher Stephen Warden, PT, DPT, MA, CSCS

  • Physical Therapist
  • Minnetonka, MN
National Provider Identifier
1154928760
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11951 Issued in MN
Practice address
15000 Minnetonka Blvd
Minnetonka, MN 55345-1506
Phone
(952) 935-4037
NPI assigned
Oct 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11951 MN Primary

Addresses

Primary practice location

15000 Minnetonka Blvd
Minnetonka, MN 55345-1506

Mailing address

15000 Minnetonka Blvd
Minnetonka, MN 55345-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119000774 MN Practitioner - Physical Therapist in Private Practice 3072924281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Minnesota Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merz, Inc.Group PAC ID 3173418456, 4 clinicians

Practice addresses (Care Compare)

15000 Minnetonka Blvd
Minnetonka, MN 55345-1506
Phone (952) 935-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11951MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merz, Inc. Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Therapy Partners Inc Physical Therapist PastSince Oct 1, 2020 Accepting new patients

Locations

15000 Minnetonka Blvd
Minnetonka, MN 55345
Phone (952) 930-8540

Organizations & group practices 2

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1154928760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 MINNETONKA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 MINNETONKA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451506",
            "telephone_number": "952-935-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "STEPHEN",
        "credential": "PT, DPT, MA, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.