Active NPI
Christopher Fahs, PT
- Physical Therapist
- Louisville, CO
National Provider Identifier
1366507311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11116
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11116 | Other | CO | CO 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11116 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients | |
| First Venture Rehabilitation Clinics, LLC | Past | 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.
-
- Diagnostic Ultrasound Physician
- Louisville, CO
- NPI 1366941171
-
- Physical Therapist
- Denver, CO
- NPI 1093877565
-
- Physical Therapy Clinic/Center
- Oak Brook, IL
- NPI 1356394852
Physical Therapist
-
dba Advanced Rehabilitation Clinics
- Physical Therapy Clinic/Center
- Westmont, IL
- NPI 1255491171
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
- Alireza Etemadi, M.D.
- Evergreen Dental Anesthesia PLLC (Evergreen Dental Anesthesia)
- Excellence in Dentistry (Louisville Dental Associates)
- Exceptional Voice, Inc.
- Kylie Eynon, PT, DPT
- Melanie Michelle Fargo, M.A. CCC-SLP
- Clint A Farris, M.D.
- Amy Lara Fayling, M.D.
- Ann Federowicz
- Gary A Fenster, PH.D.
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.