Christopher James Moberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11943 Issued in TN

Practice address

5380 Hickory Hollow Pkwy Ste 201
Antioch, TN 37013

Phone

(615) 891-2070

Fax

(615) 891-2056

NPI assigned

Jul 28, 2016

Last updated

May 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strive to Thrive LLC

  • Orthopedic Physical Therapist
  • Hendersonville, TN
  • NPI 1003380908
  NPD Authorized official

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1457804130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274576",
            "telephone_number": "153-709-9926",
            "fax_number": "615-370-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 HICKORY HOLLOW PKWY STE 201",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-891-2070",
            "fax_number": "615-891-2056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131B Hatcher Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370435987",
            "country_code": "US",
            "telephone_number": "931-552-4846",
            "fax_number": "931-552-4493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131B Hatcher Ln",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370435987",
            "country_code": "US",
            "telephone_number": "931-552-4846",
            "fax_number": "931-552-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBERG",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshia Kirby Miller, RN
• Timothy H Miller, M.D.
• Jevetta Latrice Mitchell, M.S. CCC-SLP
• Toy Lisa Mitchell, PH.D
• Christina Phaylinh Mixayphone
• Faridah Mohammadi, MSN, FNP-C
• Nicoletta Larissa Montgomery
• Stanley Moore, BA
• Annedrea Leigh Morreale, O.D.
• Morxkos LLC (Ezscrpt)

• Physical Therapist in Antioch, TN
• Providers in Antioch, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.