Christopher Dale Cantrell, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTA013143 Issued in OH

Practice address

750 Chestnut St
Greenville, OH 45331-1312

Phone

(937) 547-8000

NPI assigned

May 11, 2022

Last updated

May 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1457097503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WAYNE AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311233",
            "telephone_number": "937-417-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CHESTNUT ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311312",
            "telephone_number": "937-547-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "DALE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PTA013143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Byers, M.A./CCC-SLP
• Amber Kelly Bynum, RN
• Kelley Callahan, PSY.D
• Sherry L Camacho, LCDC II
• Kathryn E Campbell
• Jaclyn Carr, NP-BC
• Brandi Carrubba
• Morgan Carter, MSW
• Douglas Charles Caserta, FNP-BC, CNP
• Cleanne Cass, DO

• Physical Medicine & Rehabilitation Physician in Greenville, OH
• Providers in Greenville, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.