Individual provider Active NPI

Warren Christopher Chisler, DPT

  • Physical Therapist
  • Bountiful, UT
National Provider Identifier
1205692878
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13807924-2401 Issued in UT
Practice address
79 E Center St
Bountiful, UT 84010-6126
Phone
(801) 312-9181
NPI assigned
Feb 22, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 13807924-2401 UT Primary

Addresses

Primary practice location

79 E Center St
Bountiful, UT 84010-6126

Mailing address

590 N Station Pkwy Apt D310
Farmington, UT 84025-3077
Phone (240) 298-7176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311000282 UT Practitioner - Physical Therapist in Private Practice 1658717814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5151 S 900
Suite 100
Salt Lake City, UT 84117-6658
Phone (801) 261-3321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hand & Orthopedic Rehabilitation Specialists Physical Therapist Current Accepting new patients
Hand & Orthopedic Rehabilitation Specialists Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Hand & Orthopedic Rehabilitation Specialists Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Hand & Orthopedic Rehabilitation Specialists Physical Therapist Past Accepting new patients

Locations

5151 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 261-3321

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1205692878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N STATION PKWY APT D310",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253077",
            "telephone_number": "240-298-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E CENTER ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106126",
            "telephone_number": "801-312-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISLER",
        "first_name": "WARREN",
        "middle_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13807924-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.