Individual provider Active NPI

Courtney Brooke Cristler, DPT

  • Physical Therapist
  • North Charleston, SC
National Provider Identifier
1417036401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5228 Issued in SC
Practice address
9241 University Blvd Ste B
North Charleston, SC 29406-9349
Phone
(843) 764-4887
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5228 SC Primary

Addresses

Primary practice location

9241 University Blvd Ste B
North Charleston, SC 29406-9349

Mailing address

2886 Woodland Park Dr
Mt Pleasant, SC 29466-7127
Phone (225) 933-0194

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417036401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 WOODLAND PARK DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667127",
            "telephone_number": "225-933-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 UNIVERSITY BLVD STE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069349",
            "telephone_number": "843-764-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTLER",
        "first_name": "COURTNEY",
        "middle_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.