Individual provider Active NPI

Christopher Patrick Taquino, DPT

  • Physical Therapist
  • Santa Cruz, CA
National Provider Identifier
1396070660
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36059 Issued in CA
Practice address
1510 Seabright Ave
Santa Cruz, CA 95062-2529
Phone
(831) 425-3588
Fax
(831) 425-3538
NPI assigned
Oct 5, 2009
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 36059 CA Primary

Addresses

Primary practice location

1510 Seabright Ave
Santa Cruz, CA 95062-2529

Mailing address

1510 Seabright Ave
Santa Cruz, CA 95062-2529
Phone (831) 425-3588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808000549 CA Practitioner - Physical Therapist in Private Practice 3577780998 Practice locations: Santa Cruz, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1510 Seabright Ave
Santa Cruz, CA 95062-2529
Phone (831) 425-3588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36059CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1396070660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SEABRIGHT AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622529",
            "telephone_number": "831-425-3588",
            "fax_number": "831-425-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SEABRIGHT AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622529",
            "telephone_number": "831-425-3588",
            "fax_number": "831-425-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAQUINO",
        "first_name": "CHRISTOPHER",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.