Individual provider Active NPI

Christopher Lee Pough, OTR/L, PT, DPT

  • Physical Therapist
  • Cedar Hill, TX
National Provider Identifier
1437486917
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1215176 Issued in TX
Practice address
147 Biscayne Dr
Cedar Hill, TX 75104-1363
Phone
(251) 605-4457
NPI assigned
Nov 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1215176 TX Primary
Occupational Therapist 225X00000X 113972 TX

Addresses

Primary practice location

147 Biscayne Dr
Cedar Hill, TX 75104-1363

Mailing address

147 Biscayne Dr
Cedar Hill, TX 75104-1363
Phone (251) 605-4457

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

LicenseStateTypeSpecialty
1215176TXMDPhysical Therapist
113972TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Health Centers of Georgia PC Past Accepting new patients
First Coast Physical Therapy Inc Physical Therapist PastSince Aug 26, 2008 Accepting new patients
Occupational Health Centers of Georgia, P.C. Past Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1437486917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 BISCAYNE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041363",
            "telephone_number": "251-605-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 BISCAYNE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041363",
            "telephone_number": "251-605-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUGH",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "OTR/L, PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1215176",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.