Active NPI
Christopher William Stanley, PT
- Physical Therapist
- Longview, TX
National Provider Identifier
1457524431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1174720
- Practice address
- 3202 4TH St
Longview, TX 75605-5217 - Phone
- (903) 753-6635
- Fax
- (903) 753-1114
- NPI assigned
- Apr 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61603 | OR | |
| Physical Therapist | 225100000X | 1174720 | TX | Primary |
Addresses
Primary practice location
3202 4TH St
Longview, TX 75605-5217
Mailing address
PO Box 5360
Longview, TX 75608-5360
Phone (903) 753-6635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
402 N Kaufman St
Linden, TX 75563-5234
Phone (903) 753-6635
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61603 | OR | MD | Physical Therapist |
| 1174720 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Outpatient Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Pain Managment Joint Venture LLP | Physical Therapist | Past | Accepting new patients |
| Marshall Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
402 N Kaufman St
Linden, TX 75563
Phone (903) 665-9500
3202 4th St
Ste 101
Longview, TX 75605
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.
-
- Physical Therapist
- Longview, TX
- NPI 1730517004
-
- Physical Medicine & Rehabilitation Physician
- Jefferson, TX
- NPI 1841523917
Physical Therapist
-
- Physical Therapist
- Longview, TX
- NPI 1871540971
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1457524431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5360",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756085360",
"telephone_number": "903-753-6635",
"fax_number": "903-753-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055217",
"telephone_number": "903-753-6635",
"fax_number": "903-753-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "CHRISTOPHER",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61603",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1174720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.