William Paul Christensen, M.D.

Key facts

NPI

1336672005

Entity type

Individual (NPI type 1)

Primary specialty

Physical Medicine & Rehabilitation Physician 208100000X

License

63581 (TN)

Practice address

1030 Jefferson Ave
Memphis, TN 38104-2127

Phone

(901) 577-7373

Fax

(901) 577-7376

NPI assigned

Apr 9, 2017

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 11, 2023.

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1336672005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042127",
            "telephone_number": "901-577-7373",
            "fax_number": "901-577-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042127",
            "telephone_number": "901-577-7373",
            "fax_number": "901-577-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-09",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2018019614",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "63581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

• Christ Community Health Services, Inc.
• Georgios Christakopoulos, M.D.
• Anthony Michael Christensen, PHARMD
• Cherris Ladai Christensen
• Michael T Christensen, O.D.
• Christian Brothers University
• Christian Counseling and Consulting, LLC
• Christian Counseling and Consulting, LLC
• Christian Counseling and Consulting, LLC
• Christian Psychological Center, Inc.

All providers in Memphis, TN · Physical Medicine & Rehabilitation Physician in Tennessee