Individual provider Active NPI

Christopher Scott Markham, LPT

  • Physical Therapist
  • Olive Branch, MS
National Provider Identifier
1306085634
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7501 Goodman Rd Ste I
Olive Branch, MS 38654-1952
Phone
(662) 890-3382
Fax
(662) 890-3385
NPI assigned
Feb 10, 2009
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 NU Primary

Addresses

Primary practice location

7501 Goodman Rd Ste I
Olive Branch, MS 38654-1952

Mailing address

8110 Cordova Rd
Ste 107
Cordova, TN 38016-0521
Phone (662) 890-3382

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090501000476 TN Practitioner - Physical Therapist in Private Practice 0143378000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8288TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Orthopaedic Institute Inc Physical Therapist CurrentSince Apr 14, 2022 Accepting new patients
The Smith Clinic for Physical Therapy Physical Therapist CurrentSince Mar 26, 2009 Accepting new patients
Cross Creek Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

105 Murabella Pkwy
Ste 6
St Augustine, FL 32092
Phone (904) 224-2666

8110 Cordova Rd
Ste 107
Cordova, TN 38016
Phone (901) 756-1650

Organizations & group practices 3

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": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1306085634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 CORDOVA RD",
            "address_2": "STE 107",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160521",
            "telephone_number": "662-890-3382",
            "fax_number": "662-890-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GOODMAN RD STE I",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541952",
            "telephone_number": "662-890-3382",
            "fax_number": "662-890-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.