Individual provider Active NPI

Christopher Choi, PT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1386250058
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63699 Issued in OR
Practice address
1307 NE 102ND Ave Ste T1
Portland, OR 97220-3980
Phone
(971) 270-0913
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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 63699 OR Primary

Addresses

Primary practice location

1307 NE 102ND Ave Ste T1
Portland, OR 97220-3980

Mailing address

PO Box 578
Troutdale, OR 97060-0578
Phone (503) 489-1174

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omnis Omnia Inc. CurrentSince Sep 28, 2020 Accepting new patients
Proactive Orthopedic and Sports Physical Therapy of Battle Ground CurrentSince Oct 13, 2020 Accepting new patients

Locations

1480 NE Village St
Fairview, OR 97024
Phone (503) 489-1174

450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410

1808 SW 9th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 723-0797

Organizations & group practices 2

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1386250058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970600578",
            "telephone_number": "503-489-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 NE 102ND AVE STE T1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203980",
            "telephone_number": "971-270-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.