Active NPI
Christopher Darius Waters, OT/R
- Occupational Therapist
- Culver City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21399
- Practice address
- 6124 Buckingham Pkwy Unit 204
Culver City, CA 90230-7223 - Phone
- (310) 614-5481
- NPI assigned
- Jan 10, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21399 | CA | Primary |
Addresses
Primary practice location
6124 Buckingham Pkwy Unit 204
Culver City, CA 90230-7223
Mailing address
6124 Buckingham Pkwy Unit 204
Culver City, CA 90230-7223
Phone (310) 614-5481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Wilshire Blvd
Suite 310
Santa Monica, CA 90403-5683
Phone (310) 829-3320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21399 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Select CS Physical Therapy, P.C. | Occupational Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Select CS Physical Therapy, P.C. | Occupational Therapist | Past | Accepting new patients |
Locations
442 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 998-8764
431 W 7th St
Fl 7
Los Angeles, CA 90014
Phone (213) 624-3556
1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466
935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411
2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Marina del Rey, CA
- NPI 1043894090
Occupational Therapist
-
- Physical Therapy Clinic/Center
- Beverly Hills, CA
- NPI 1275220246
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1295319242
-
- Physical Therapy Clinic/Center
- Ridgecrest, CA
- NPI 1386228302
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610236800000",
"number": "1255929774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6124 BUCKINGHAM PKWY UNIT 204",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902307223",
"telephone_number": "310-614-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6124 BUCKINGHAM PKWY UNIT 204",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902307223",
"telephone_number": "310-614-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "CHRISTOPHER",
"middle_name": "DARIUS",
"name_prefix": "Mr.",
"credential": "OT/R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-10",
"last_updated": "2021-01-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.