Individual provider Active NPI

Christopher Daigneault, PT

  • Physical Therapist
  • West Springfield, MA
National Provider Identifier
1477038271
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23751 Issued in MA
Practice address
271 Park St
West Springfield, MA 01089-3311
Phone
(413) 785-1153
NPI assigned
Sep 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23751 MA Primary

Addresses

Primary practice location

271 Park St
West Springfield, MA 01089-3311

Mailing address

271 Park St
West Springfield, MA 01089-3311
Phone (413) 785-1153

Other practice location 1

265 Benton Dr Ste 202
East Longmeadow, MA 01028-3219
Phone (413) 525-7222

Other practice location 2

766 N King St Ste 3
Northampton, MA 01060-1149
Phone (413) 586-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526002152 NH Practitioner - Physical Therapist in Private Practice 2163774688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare Physical Therapy and Hand CenterGroup PAC ID 5890797096, 9 clinicians

Practice addresses (Care Compare)

1900 Lafayette Rd
Portsmouth, NH 03801-5679
Phone (603) 431-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4617NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Physical Therapy and Hand Center Physical Therapist CurrentSince Apr 15, 2020 Accepting new patients
Connecticut Spine and Sports Physicians, Inc. Past Accepting new patients

Locations

1900 Lafayette Rd
Ste C
Portsmouth, NH 03801
Phone (603) 431-5600

Organizations & group practices 2

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1477038271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893311",
            "telephone_number": "413-785-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893311",
            "telephone_number": "413-785-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Benton Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "East Longmeadow",
            "state": "MA",
            "postal_code": "010283219",
            "country_code": "US",
            "telephone_number": "413-525-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "766 N King St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010601149",
            "country_code": "US",
            "telephone_number": "413-586-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAIGNEAULT",
        "first_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.

Verify at the official NPI Registry.