Individual provider Active NPI

Christopher Michael Valas, PT

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1386675486
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7059 Issued in TN
Practice address
4816 Riverdale Rd
Memphis, TN 38141-8529
Phone
(901) 522-6830
Fax
(901) 737-7926
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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 7059 TN Primary

Addresses

Primary practice location

4816 Riverdale Rd
Memphis, TN 38141-8529

Mailing address

3980 New Covington Pike
108
Memphis, TN 38128-2500
Phone (901) 937-3200

Other identifiers 1

IdentifierTypeStateIssuer
36457032OtherTNPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816001123 TN Practitioner - Physical Therapist in Private Practice 7214967504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7059TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Physical Therapist Past Accepting new patients
Memphis Orthopaedic Group PC Past Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients
MSK Group, PC Physical Therapist PastSince Jun 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.valas.1@14704.direct.athenahealth.com

Organizations & group practices 5

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1386675486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 NEW COVINGTON PIKE",
            "address_2": "108",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282500",
            "telephone_number": "901-937-3200",
            "fax_number": "901-383-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381418529",
            "telephone_number": "901-522-6830",
            "fax_number": "901-737-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "36457032",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.