Individual provider Active NPI

Christopher N Fussell, DPT

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1508094129
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
07627 Issued in LA
Practice address
10343 Siegen LN
3A
Baton Rouge, LA 70810-4979
Phone
(225) 767-4440
Fax
(225) 767-4441
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 07627 LA Primary

Addresses

Primary practice location

10343 Siegen LN
3A
Baton Rouge, LA 70810-4979

Mailing address

10343 Siegen LN
3A
Baton Rouge, LA 70810-4979
Phone (225) 767-4440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000211 LA Practitioner - Physical Therapist in Private Practice 1759436785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dutch Physical Therapy, Inc.Group PAC ID 4789617135, 2 clinicians

Practice addresses (Care Compare)

5627 Bankers Ave
Suite 1
Baton Rouge, LA 70808-2619
Phone (225) 927-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07627LAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Geaux Home Health, Inc. CurrentSince Sep 30, 2016 Accepting new patients
Dutch Physical Therapy, Inc. Physical Therapist CurrentSince Jul 1, 2009 Accepting new patients
Magnolia Care, LLC Current Accepting new patients
Dutch Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

10343 Siegen Ln
Ste 3A
Baton Rouge, LA 70810
Phone (225) 767-4440

5627 Bankers Ave
Baton Rouge, LA 70808
Phone (225) 767-4440

5627 Bankers Ave
Ste 1
Baton Rouge, LA 70808
Phone (225) 927-3000

Organizations & group practices 4

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1508094129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10343 SIEGEN LN",
            "address_2": "3A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104979",
            "telephone_number": "225-767-4440",
            "fax_number": "225-767-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10343 SIEGEN LN",
            "address_2": "3A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104979",
            "telephone_number": "225-767-4440",
            "fax_number": "225-767-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSSELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "07627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.