Individual provider Active NPI

Christopher Ryan Wilson, PT

  • Physical Therapist
  • St Thomas, VI
National Provider Identifier
1235149071
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
144 Issued in VI
Practice address
9149 Estate Thomas
Paragon Medical BLDG Ste 104
St Thomas, VI 00802-2615
Phone
(340) 714-2845
Fax
(340) 714-2843
NPI assigned
Aug 8, 2006
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008202 GA
Physical Therapist 225100000X 144 VI Primary

Addresses

Primary practice location

9149 Estate Thomas
Paragon Medical BLDG Ste 104
St Thomas, VI 00802-2615

Mailing address

9149 Estate Thomas
Paragon Medical BLDG Ste 104
St Thomas, VI 00802-2615
Phone (340) 714-2845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125001833 MA Practitioner - Physical Therapist in Private Practice 1557540002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

Practice addresses (Care Compare)

730 Main St
Suite D
Millis, MA 02054-1612
Phone (508) 376-0881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008202GAMDPhysical Therapist
144VIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physical Therapy Inc Physical Therapist CurrentSince Aug 7, 2024 Accepting new patients

Locations

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

6 Main St
Medway, MA 02053
Phone (508) 321-1680

730 Main St
Ste 2D
Millis, MA 02054
Phone (508) 376-0881

730 Main St
Ste D
Millis, MA 02054
Phone (508) 376-0881

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

Organizations & group practices 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1235149071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "PARAGON MEDICAL BLDG STE 104",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022615",
            "telephone_number": "340-714-2845",
            "fax_number": "340-714-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "PARAGON MEDICAL BLDG STE 104",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022615",
            "telephone_number": "340-714-2845",
            "fax_number": "340-714-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008202",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VI",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.