Active NPI
Christopher Trent Boop, P.T.
- Physical Therapist
- Lima, OH
National Provider Identifier
1427265016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9989
- Practice address
- 3000 W Elm St
Suite 36
Lima, OH 45805-2548 - Phone
- (419) 331-2161
- NPI assigned
- May 16, 2007
- 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 | 9989 | OH | Primary |
Addresses
Primary practice location
3000 W Elm St
Suite 36
Lima, OH 45805-2548
Mailing address
20391 Elgin Converse Rd
Venedocia, OH 45894-9403
Phone (419) 303-6296
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2619125 | Medicaid | OH | |
| 365466 | Other | OH | ANTHEM PROVIDER NUMBER |
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 |
|---|---|---|---|
| 9989 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Rehab, LLC | Past | Accepting new patients | |
| County of Putnam Office of Auditor | Past | Accepting new patients | |
| Midwest Rehab Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Health Nurse Practitioner
- Ottawa, OH
- NPI 1831602119
-
- Physical Therapist
- Ada, OH
- NPI 1588787154
-
- Physical Therapy Clinic/Center
- Lima, OH
- NPI 1114042116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1427265016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20391 ELGIN CONVERSE RD",
"city": "VENEDOCIA",
"state": "OH",
"postal_code": "458949403",
"telephone_number": "419-303-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 W ELM ST",
"address_2": "SUITE 36",
"city": "LIMA",
"state": "OH",
"postal_code": "458052548",
"telephone_number": "419-331-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOP",
"first_name": "CHRISTOPHER",
"middle_name": "TRENT",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "9989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2619125",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "365466",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.