Individual provider Active NPI

Christopher D Genn, DPT

  • Physical Therapist
  • Ridgefield, CT
National Provider Identifier
1346629284
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11302 Issued in CT
Practice address
9 Ethan Allen Hwy
2 North and South
Ridgefield, CT 06877-6239
Phone
(203) 493-5056
Fax
(203) 493-5078
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038835 NY
Physical Therapist 225100000X 11302 CT Primary

Addresses

Primary practice location

9 Ethan Allen Hwy
2 North and South
Ridgefield, CT 06877-6239

Mailing address

73 Newton Rd
Ste 101
Plaistow, NH 03865-2424
Phone (978) 388-7272

Other practice location 1

902 Old Quaker Hill Rd
Pawling, NY 12564-1627
Phone (845) 248-9298

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
038835NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1346629284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD",
            "address_2": "STE 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652424",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ETHAN ALLEN HWY",
            "address_2": "2 NORTH AND SOUTH",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776239",
            "telephone_number": "203-493-5056",
            "fax_number": "203-493-5078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Old Quaker Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Pawling",
            "state": "NY",
            "postal_code": "125641627",
            "country_code": "US",
            "telephone_number": "845-248-9298",
            "fax_number": "845-809-4206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENN",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038835",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.