Christopher Eugene Foster, PT
Individual provider Active NPI Physical Therapist · Medford, OR
NPI 1366424210 · NPPES record last updated Feb 13, 2017
Key facts
- NPI
- 1366424210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4611 (OR)
- Practice address
- 771 W Stewart Ave
Ste 103
Medford, OR 97501-4189 - Phone
- (541) 500-8029
- Fax
- (541) 622-8337
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center of Orthopedic Rehabilitation and Exercise, LLC
Practice addresses (Care Compare)
771 W Stewart Ave
Suite 103
Medford, OR 97501-4279
Phone (541) 500-8029
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050804001005 | OR | Practitioner - Physical Therapist in Private Practice | 8820027329 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH2870 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Jackson County Physical Therapy LLP | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4611 | OR | Yes |
| Physical Therapist | 225100000X | PTH2870 | AL |
Addresses
Primary practice location
771 W Stewart Ave
Ste 103
Medford, OR 97501-4189
Mailing address
771 W Stewart Ave
Ste 103
Medford, OR 97501-4189
Phone (541) 500-8029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298053 | Medicaid | OR |
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.