Active NPI
Christopher Thomas Havel, M.P.T.
- Physical Therapist
- Friday Harbor, WA
National Provider Identifier
1396115481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 00006824
- Practice address
- 156 Moonlight Dr
Friday Harbor, WA 98250-8294 - Phone
- (360) 622-9141
- NPI assigned
- Oct 1, 2015
- 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 | PT 00006824 | WA | Primary |
Addresses
Primary practice location
156 Moonlight Dr
Friday Harbor, WA 98250-8294
Mailing address
156 Moonlight Dr
Friday Harbor, WA 98250-8294
Phone (360) 622-9141
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 |
|---|---|---|---|
| PT 00006824 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1396115481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 MOONLIGHT DR",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982508294",
"telephone_number": "360-622-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 MOONLIGHT DR",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982508294",
"telephone_number": "360-622-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVEL",
"first_name": "CHRISTOPHER",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-01",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 00006824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.