Individual provider Active NPI

Christopher Whitmore, ATC, PTA

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Greenwood Village, CO
National Provider Identifier
1255984142
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
0013809 Issued in CO
Practice address
5801 S Quebec St Ste 100
Greenwood Village, CO 80111-2010
Phone
(303) 770-0870
NPI assigned
Jul 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 0013809 CO Primary

Addresses

Primary practice location

5801 S Quebec St Ste 100
Greenwood Village, CO 80111-2010

Mailing address

2575 S Syracuse Way Apt J301
Denver, CO 80231-3885
Phone (303) 653-4376

Other identifiers 2

IdentifierTypeStateIssuer
0001592OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES OFFICE OF ATHLETIC TRAINING
0013809OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES STATE PHYSICAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0013809COMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1255984142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 S SYRACUSE WAY APT J301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313885",
            "telephone_number": "303-653-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S QUEBEC ST STE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112010",
            "telephone_number": "303-770-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "CHRISTOPHER",
        "credential": "ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CO",
            "license": "0013809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES OFFICE OF ATHLETIC TRAINING",
            "identifier": "0001592",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES STATE PHYSICAL THERAPY",
            "identifier": "0013809",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.