Christopher Dale Cantrell, PTA
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Greenville, OH
NPI 1457097503 · NPPES record last updated May 11, 2022
Key facts
- NPI
- 1457097503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- PTA013143 (OH)
- Practice address
- 750 Chestnut St
Greenville, OH 45331-1312 - Phone
- (937) 547-8000
- NPI assigned
- May 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA013143 | OH | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTA013143 | OH | Yes |
Addresses
Primary practice location
750 Chestnut St
Greenville, OH 45331-1312
Mailing address
601 Wayne Ave
Greenville, OH 45331-1233
Phone (937) 417-9008
Other providers in Greenville, OH
- Amy Byers
- Amber Kelly Bynum
- Kelley Callahan
- Sherry L Camacho
- Kathryn E Campbell
- Jaclyn Carr
- Brandi Carrubba
- Morgan Carter
- Douglas Charles Caserta
- Cleanne Cass
All providers in Greenville, OH · Physical Medicine & Rehabilitation Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.