Individual provider Active NPI

Christopher Fahs, PT

  • Physical Therapist
  • Louisville, CO
National Provider Identifier
1366507311
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11116 Issued in CO
Practice address
315 W South Boulder Rd
Suite 100
Louisville, CO 80027-1156
Phone
(303) 666-4151
Fax
(303) 666-4166
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11116 CO Primary

Addresses

Primary practice location

315 W South Boulder Rd
Suite 100
Louisville, CO 80027-1156

Mailing address

315 W South Boulder Rd
Suite 100
Louisville, CO 80027-1156
Phone (303) 666-4151

Other identifiers 1

IdentifierTypeStateIssuer
11116OtherCOCO LICENSE NUMBER

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
11116COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performax Front Range Physical Therapy LLC Physical Therapist Past Accepting new patients
Advanced Rehabilitation Clinics, Inc Physical Therapist Past Accepting new patients
Coal Creek Diagnostics, LLC PastSince Aug 12, 2012 Accepting new patients
First Venture Rehabilitation Clinics, LLC PastSince Jun 14, 2004 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1366507311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W SOUTH BOULDER RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271156",
            "telephone_number": "303-666-4151",
            "fax_number": "303-666-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W SOUTH BOULDER RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271156",
            "telephone_number": "303-666-4151",
            "fax_number": "303-666-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHS",
        "first_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO LICENSE NUMBER",
            "identifier": "11116",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.