Individual provider Active NPI

Christopher Thomas Lynch, OTR

  • Ergonomics Occupational Therapist
  • Trussville, AL
National Provider Identifier
1316907272
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Occupational TherapistTaxonomy code 225XE1200X
License
0393 Issued in AL
Practice address
4901 Deerfoot Pkwy
Trussville, AL 35173-2697
Phone
(205) 661-0810
Fax
(205) 661-9841
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Occupational Therapist 225XE1200X 0393 AL Primary

Addresses

Primary practice location

4901 Deerfoot Pkwy
Trussville, AL 35173-2697

Mailing address

PO Box 175
Trussville, AL 35173-0175
Phone (205) 661-0810

Other practice location 1

2020 Canyon Rd Ste 200
Vestavia Hills, AL 35216-1959
Phone (205) 354-2442

Other identifiers 2

IdentifierTypeStateIssuer
0510-01819OtherALBLUE CROSS BLUE SHIELD
0510-01820OtherALBLUE CROSS BLUE SHEILD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0393ALMDErgonomics Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Clinic, Inc PastSince Oct 3, 2005 Accepting new patients
Right Start Therapy, Inc PastSince Oct 31, 2001 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1316907272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351730175",
            "telephone_number": "205-661-0810",
            "fax_number": "205-661-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DEERFOOT PKWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732697",
            "telephone_number": "205-661-0810",
            "fax_number": "205-661-9841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Canyon Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352161959",
            "country_code": "US",
            "telephone_number": "205-354-2442",
            "fax_number": "205-379-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "AL",
            "license": "0393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0510-01819",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0510-01820",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.