Active NPI
Christopher Patrick Niemann Jr., DPT
- Physical Therapist
- West Berlin, NJ
National Provider Identifier
1336507490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 91 Haddon Ave
West Berlin, NJ 08091-1944 - Phone
- (267) 250-0443
- NPI assigned
- Feb 4, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NJ | Primary |
Addresses
Primary practice location
91 Haddon Ave
West Berlin, NJ 08091-1944
Mailing address
91 Haddon Ave
West Berlin, NJ 08091-1944
Phone (267) 250-0443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1336507490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 HADDON AVE",
"city": "WEST BERLIN",
"state": "NJ",
"postal_code": "080911944",
"telephone_number": "267-250-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 HADDON AVE",
"city": "WEST BERLIN",
"state": "NJ",
"postal_code": "080911944",
"telephone_number": "267-250-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMANN",
"first_name": "CHRISTOPHER",
"middle_name": "PATRICK",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-04",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Berlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.