Individual provider Active NPI

Mark Douglas Christensen, PT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1356096309
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00008216 Issued in WA
Practice address
3124 S Regal St
Spokane, WA 99223-4704
Phone
(509) 464-6208
Fax
(888) 316-1928
NPI assigned
Feb 18, 2022
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 1561 ID
Physical Therapist 225100000X 00008216 WA Primary

Addresses

Primary practice location

3124 S Regal St
Spokane, WA 99223-4704

Mailing address

3124 S Regal St
Spokane, WA 99223-4704
Phone (509) 464-6208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220304001881 WA Practitioner - Physical Therapist in Private Practice 7810381928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Spine and Pain Medicine PLLCGroup PAC ID 5799972212, 15 clinicians

Practice addresses (Care Compare)

3124 S Regal St
Spokane, WA 99223-4733
Phone (509) 464-6208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1561IDMDPhysical Therapist
00008216WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rare Wellness CurrentSince Oct 23, 2022 Accepting new patients
Strong Finish Physical Therapy PLLC Physical Therapist Current Accepting new patients
Northwest Spine and Pain Medicine, PLLC CurrentSince Feb 28, 2022 Accepting new patients
Selkirk Interventional Pain Physicians PLLC Past Accepting new patients

Locations

3124 S Regal St
Spokane, WA 99223
Phone (509) 464-6208

5901 N Lidgerwood St
Ste 218
Spokane, WA 99208
Phone (509) 464-6208

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1356096309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 S REGAL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234704",
            "telephone_number": "509-464-6208",
            "fax_number": "888-316-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S REGAL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234704",
            "telephone_number": "509-464-6208",
            "fax_number": "888-316-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1561",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00008216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.